Provider Demographics
NPI:1093783508
Name:HUNTER, JANE JAGELMAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:JAGELMAN
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:JANE
Other - Middle Name:ELIZABETH
Other - Last Name:JAGELMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:247 NORTHAMPTON ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1051
Mailing Address - Country:US
Mailing Address - Phone:413-203-2446
Mailing Address - Fax:413-203-2447
Practice Address - Street 1:247 NORTHAMPTON ST
Practice Address - Street 2:SUITE 7
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1051
Practice Address - Country:US
Practice Address - Phone:413-203-2446
Practice Address - Fax:413-203-2447
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7715103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110031909AMedicaid
MA110031909AMedicaid