Provider Demographics
NPI:1508215575
Name:MACHAIN, MOLLY
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:MACHAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 CRAIGVILLE BEACH ROAD
Mailing Address - Street 2:UNIT 12
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601
Mailing Address - Country:US
Mailing Address - Phone:339-222-7086
Mailing Address - Fax:
Practice Address - Street 1:272 CRAIGVILLE BEACH RD
Practice Address - Street 2:UNIT 12
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-4104
Practice Address - Country:US
Practice Address - Phone:339-222-7086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker