Provider Demographics
NPI:1669607503
Name:DUGGAN, HAYDEN A (EDD)
Entity type:Individual
Prefix:DR
First Name:HAYDEN
Middle Name:A
Last Name:DUGGAN
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1031
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-6031
Mailing Address - Country:US
Mailing Address - Phone:978-632-3518
Mailing Address - Fax:978-630-3987
Practice Address - Street 1:216 MILL ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3293
Practice Address - Country:US
Practice Address - Phone:978-632-3518
Practice Address - Fax:978-630-3987
Is Sole Proprietor?:No
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2650103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist