Provider Demographics
NPI:1669628392
Name:HEWTON, MICHELLE S (BA)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:S
Last Name:HEWTON
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 PALM BEACH LAKES BLVD STE 400E
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-3410
Mailing Address - Country:US
Mailing Address - Phone:561-688-0870
Mailing Address - Fax:561-537-7161
Practice Address - Street 1:2240 PALM BEACH LAKES BLVD STE 400E
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-3410
Practice Address - Country:US
Practice Address - Phone:561-688-0870
Practice Address - Fax:561-537-7161
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator