Provider Demographics
NPI:1962057547
Name:MATSUBARA, HANNAH MARIE
Entity type:Individual
Prefix:MS
First Name:HANNAH
Middle Name:MARIE
Last Name:MATSUBARA
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 1:366 FARRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01835-8400
Mailing Address - Country:US
Mailing Address - Phone:978-992-2539
Mailing Address - Fax:
Practice Address - Street 1:366 FARRWOOD DR
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01835-8400
Practice Address - Country:US
Practice Address - Phone:978-992-2539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health