Provider Demographics
NPI:1760549810
Name:HUNT, PATRICIA NMN (MSW)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:NMN
Last Name:HUNT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:NMN
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:20 HOPE AVE
Mailing Address - Street 2:SUITE G-05
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-2721
Mailing Address - Country:US
Mailing Address - Phone:781-893-8762
Mailing Address - Fax:781-899-6386
Practice Address - Street 1:20 HOPE AVE
Practice Address - Street 2:SUITE G-05
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2721
Practice Address - Country:US
Practice Address - Phone:781-893-8762
Practice Address - Fax:781-899-6386
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1059511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical