Provider Demographics
NPI:1639282387
Name:HITCHCOCK, NED II (MS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:NED
Middle Name:
Last Name:HITCHCOCK
Suffix:II
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 316
Mailing Address - Street 2:
Mailing Address - City:SOUTH WELLFLEET
Mailing Address - State:MA
Mailing Address - Zip Code:02663-0316
Mailing Address - Country:US
Mailing Address - Phone:508-737-9523
Mailing Address - Fax:508-349-0276
Practice Address - Street 1:35A BRITTANY'S WAY
Practice Address - Street 2:UNIT 3
Practice Address - City:EASTHAM
Practice Address - State:MA
Practice Address - Zip Code:02642
Practice Address - Country:US
Practice Address - Phone:508-737-9523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health