Provider Demographics
NPI:1649316696
Name:WARD, STEPHANIE HUTCHINSON (MED, LMHC)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:HUTCHINSON
Last Name:WARD
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:664 STEVENS RD
Mailing Address - Street 2:MEADOWRIDGE
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-4701
Mailing Address - Country:US
Mailing Address - Phone:508-676-8740
Mailing Address - Fax:508-678-9059
Practice Address - Street 1:664 STEVENS RD
Practice Address - Street 2:MEADOWRIDGE
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4701
Practice Address - Country:US
Practice Address - Phone:508-676-8740
Practice Address - Fax:508-678-9059
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health