National Provider Identifier
Carly Jean Hathaway, MSW
Carly Jean Hathaway, MSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 895-6700.
Profile Overview
- NPI
- 1669021317
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 05, 2019
- Last Updated
- September 05, 2019
Practice Location
- 1131 Broadway St
- Buffalo, NY 14212-1501
Phone: (716) 895-6700
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1669021317
- Entity Type
- Individual
- Last Name
- Hathaway
- First Name
- Carly
- Middle Name
- Jean
- Name Prefix
- MS.
- Credential
- MSW
- Mailing Street Address
- 1131 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1501
- Mailing Country
- US
- Mailing Phone
- (716) 895-6700
- Mailing Fax
- (716) 896-7717
- Practice Street Address
- 1131 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1501
- Practice Country
- US
- Practice Phone
- (716) 895-6700
- Practice Fax
- (716) 896-7717
- Enumeration Date
- September 05, 2019
- Last Updated
- September 05, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)