Provider Demographics
NPI:1245577022
Name:HATEM, FELICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:HATEM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BIRCH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3585
Mailing Address - Country:US
Mailing Address - Phone:508-422-9250
Mailing Address - Fax:508-422-9298
Practice Address - Street 1:25 BIRCH ST STE 202
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757
Practice Address - Country:US
Practice Address - Phone:508-422-9250
Practice Address - Fax:508-422-9298
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker