Provider Demographics
NPI:1881866465
Name:HINCHEY, MYRIAH WENONA (ND)
Entity Type:Individual
Prefix:DR
First Name:MYRIAH
Middle Name:WENONA
Last Name:HINCHEY
Suffix:
Gender:F
Credentials:ND
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 666
Mailing Address - Street 2:27 MAIN STREET
Mailing Address - City:HEBRON
Mailing Address - State:CT
Mailing Address - Zip Code:06248
Mailing Address - Country:US
Mailing Address - Phone:860-228-1287
Mailing Address - Fax:860-228-2518
Practice Address - Street 1:27 MAIN STREET
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:CT
Practice Address - Zip Code:06248
Practice Address - Country:US
Practice Address - Phone:860-228-1287
Practice Address - Fax:860-228-2518
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000339175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath