Provider Demographics
NPI:1902324155
Name:HACKING, CLAIRE (MPH, MS)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:HACKING
Suffix:
Gender:F
Credentials:MPH, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 EMPIRE ST APT 8
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1519
Mailing Address - Country:US
Mailing Address - Phone:801-860-3516
Mailing Address - Fax:
Practice Address - Street 1:830 HARRISON AVE # LL236
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2905
Practice Address - Country:US
Practice Address - Phone:617-638-7073
Practice Address - Fax:617-638-7065
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2017-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS