Provider Demographics
NPI:1326888777
Name:DEL ROSARIO HIDALGO, BRETNEY PATRICIA
Entity type:Individual
Prefix:
First Name:BRETNEY
Middle Name:PATRICIA
Last Name:DEL ROSARIO HIDALGO
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 1:384 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1530
Mailing Address - Country:US
Mailing Address - Phone:978-677-1541
Mailing Address - Fax:
Practice Address - Street 1:384 MARKET ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1530
Practice Address - Country:US
Practice Address - Phone:978-677-1541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health