Provider Demographics
NPI:1609392471
Name:HYNES, ELIZABETH M
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:M
Last Name:HYNES
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 1:327 COUNTRY WAY
Mailing Address - Street 2:
Mailing Address - City:SCITUATE
Mailing Address - State:MA
Mailing Address - Zip Code:02066-3735
Mailing Address - Country:US
Mailing Address - Phone:781-378-0653
Mailing Address - Fax:
Practice Address - Street 1:327 COUNTRY WAY
Practice Address - Street 2:
Practice Address - City:SCITUATE
Practice Address - State:MA
Practice Address - Zip Code:02066-3735
Practice Address - Country:US
Practice Address - Phone:781-378-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst