MEDICARE: DR. JOHN HITE PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TS0200X	School Psychologist	1160	MA

General Provider Information

NPI Number	:	1528570926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HITE PSYD

Provider Business Mailing Address
First Line	:	53 LANGLEY RD STE 340
Second Line	:
City	:	NEWTON CENTER
State	:	MA
Zip	:	02459-1919
Country	:	US
Telephone Number	:	207-332-0655
Fax Number	:

Provider Business Practice Location Address
First Line	:	53 LANGLEY RD STE 340
Second Line	:
City	:	NEWTON CENTER
State	:	MA
Zip	:	02459-1919
Country	:	US
Telephone Number	:	207-332-0655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2017
Last Update Date	:	10/26/2017

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Directions to “ DR. JOHN HITE PSYD” Practice Location

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