Provider Demographics
NPI:1033591896
Name:BUSH, HILLARY HURST
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:HURST
Last Name:BUSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:JANE
Other - Last Name:HURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:LEARNING AND EMOTIONAL ASSESSMENT PROGRAM, MGH
Mailing Address - Street 2:151 MERRIMAC ST., 5TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:617-643-6020
Mailing Address - Fax:617-643-6060
Practice Address - Street 1:151 MERRIMAC ST FL 5
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-4714
Practice Address - Country:US
Practice Address - Phone:617-643-6020
Practice Address - Fax:617-643-6060
Is Sole Proprietor?:No
Enumeration Date:2015-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program