Basic Information
Provider Information
NPI: 1790973295
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HEMPEL
FirstName: PATRICIA
MiddleName: ANN
NamePrefix: MS.
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 96 SOUTH ST
Address2:  
City: WARE
State: MA
PostalCode: 010821616
CountryCode: US
TelephoneNumber: 4139676241
FaxNumber: 4139679807
Practice Location
Address1: 96 SOUTH ST.
Address2:  
City: WARE
State: MA
PostalCode: 01082
CountryCode: US
TelephoneNumber: 4139676241
FaxNumber: 4139679807
Other Information
ProviderEnumerationDate: 10/09/2007
LastUpdateDate: 10/31/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X6314MAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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