Provider Demographics
NPI:1356403893
Name:EATON, NANCY UNDERHILL (LMHC)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:UNDERHILL
Last Name:EATON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:473 QUEEN ANNE RD
Mailing Address - Street 2:PO BOX 1127
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645
Mailing Address - Country:US
Mailing Address - Phone:508-432-4970
Mailing Address - Fax:
Practice Address - Street 1:169 ROUTE 6A
Practice Address - Street 2:BOX 964
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653
Practice Address - Country:US
Practice Address - Phone:508-240-7177
Practice Address - Fax:508-240-7192
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4187101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health