Provider Demographics
NPI:1912296823
Name:SOUTH SHORE PSYCHOLOGICAL SERVICES, LLC
Entity Type:Organization
Organization Name:SOUTH SHORE PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST, MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:HILLS
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:781-749-3606
Mailing Address - Street 1:3 SUMMER ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-2246
Mailing Address - Country:US
Mailing Address - Phone:781-749-3606
Mailing Address - Fax:
Practice Address - Street 1:3 SUMMER ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-2246
Practice Address - Country:US
Practice Address - Phone:781-749-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9298103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty