Provider Demographics
NPI:1326770637
Name:HRUBY, ADELA (PHD, MPH, LMHC)
Entity Type:Individual
Prefix:DR
First Name:ADELA
Middle Name:
Last Name:HRUBY
Suffix:
Gender:F
Credentials:PHD, MPH, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 TECH CIR
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-1023
Mailing Address - Country:US
Mailing Address - Phone:617-610-0840
Mailing Address - Fax:
Practice Address - Street 1:13 TECH CIR
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1023
Practice Address - Country:US
Practice Address - Phone:617-610-0840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-27
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13214101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty