Provider Demographics
NPI:1780997643
Name:HUNT, CATHERINE MCCORD (IBCLC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MCCORD
Last Name:HUNT
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-5291
Mailing Address - Country:US
Mailing Address - Phone:978-525-3065
Mailing Address - Fax:
Practice Address - Street 1:26 LONG HILL RD
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-5291
Practice Address - Country:US
Practice Address - Phone:978-525-3065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2262639163WL0100X
MA198-14775163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant