Provider Demographics
NPI:1811044555
Name:HINDEN, BETH (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:
Last Name:HINDEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 ROSELAND ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-3524
Mailing Address - Country:US
Mailing Address - Phone:617-354-6270
Mailing Address - Fax:617-354-6275
Practice Address - Street 1:61 ROSELAND ST
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-3524
Practice Address - Country:US
Practice Address - Phone:617-354-6270
Practice Address - Fax:617-354-6275
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7712103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW06018OtherBCBS PROVIDER NUMBER
MA348489OtherMAGELLAN PROVIDER NUMBER