Provider Demographics
NPI:1245482447
Name:WATT-BUCCI, HOPE MARY (PHD)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:MARY
Last Name:WATT-BUCCI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:HOPE
Other - Middle Name:MARY
Other - Last Name:WATT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:152 S HUNTINGTON AVE
Mailing Address - Street 2:BUILDING 9, MAIL CODE 11T
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:857-364-5750
Mailing Address - Fax:857-364-6316
Practice Address - Street 1:152 S. HUNTINGTON AVE
Practice Address - Street 2:BUILDING 9 MAIL CODE 11T
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:857-364-5750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1030514104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker