Provider Demographics
NPI:1255367926
Name:CHMIELINSKI, HILARY (EDD, MPHIL)
Entity type:Individual
Prefix:DR
First Name:HILARY
Middle Name:
Last Name:CHMIELINSKI
Suffix:
Gender:M
Credentials:EDD, MPHIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 TREMONT ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-2034
Mailing Address - Country:US
Mailing Address - Phone:508-223-3434
Mailing Address - Fax:508-223-3434
Practice Address - Street 1:338 TREMONT ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-2034
Practice Address - Country:US
Practice Address - Phone:508-223-3434
Practice Address - Fax:508-223-3434
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3716103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO3786-68Medicare ID - Type Unspecified