Provider Demographics
NPI:1760693741
Name:HEMSTEAD, JANINE MARIE (MED LCMFT)
Entity Type:Individual
Prefix:MS
First Name:JANINE
Middle Name:MARIE
Last Name:HEMSTEAD
Suffix:
Gender:F
Credentials:MED LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 STAGE COACH RD
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-2037
Mailing Address - Country:US
Mailing Address - Phone:800-919-5488
Mailing Address - Fax:508-477-9334
Practice Address - Street 1:400 NATHAN ELLIS HWY
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-3143
Practice Address - Country:US
Practice Address - Phone:800-919-5488
Practice Address - Fax:508-477-9334
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA479106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist