Provider Demographics
NPI:1104082338
Name:HACK, FRANCES PENINNAH
Entity type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:PENINNAH
Last Name:HACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 COUNTRY WAY
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1025
Mailing Address - Country:US
Mailing Address - Phone:413-584-3494
Mailing Address - Fax:
Practice Address - Street 1:31 COUNTRY WAY
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1025
Practice Address - Country:US
Practice Address - Phone:413-584-3494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10238391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical