Provider Demographics
NPI:1427242288
Name:HIBBEN, GRETCHEN EHRET (GRETCHEN HIBBEN)
Entity type:Individual
Prefix:MS
First Name:GRETCHEN
Middle Name:EHRET
Last Name:HIBBEN
Suffix:
Gender:F
Credentials:GRETCHEN HIBBEN
Other - Prefix:
Other - First Name:GRETCHEN
Other - Middle Name:
Other - Last Name:EHRET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GRETCHEN HIBBEN
Mailing Address - Street 1:110 LANES END
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-1500
Mailing Address - Country:US
Mailing Address - Phone:978-371-9831
Mailing Address - Fax:
Practice Address - Street 1:110 LANES END
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-1500
Practice Address - Country:US
Practice Address - Phone:978-371-9831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool