Provider Demographics
NPI:1972646891
Name:HUBERT, JANE ELIZABETH (MA)
Entity Type:Individual
Prefix:MRS
First Name:JANE
Middle Name:ELIZABETH
Last Name:HUBERT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 PLEASANT ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6246
Mailing Address - Country:US
Mailing Address - Phone:608-990-0418
Mailing Address - Fax:508-979-4580
Practice Address - Street 1:558 PLEASANT ST
Practice Address - Street 2:SUITE 207
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6246
Practice Address - Country:US
Practice Address - Phone:508-990-0418
Practice Address - Fax:508-979-4580
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health