Healthcare Provider Details

I. General information

NPI: 1942514161
Provider Name (Legal Business Name): JENNIFER HILLS EPSTEIN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2010
Last Update Date: 03/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 SUMMER ST SUITE 2B
HINGHAM MA
02043-2246
US

IV. Provider business mailing address

3 SUMMER ST SUITE 2B
HINGHAM MA
02043-2246
US

V. Phone/Fax

Practice location:
  • Phone: 781-749-3606
  • Fax:
Mailing address:
  • Phone: 781-749-3606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number2036
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number9298
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: