Provider Demographics
NPI:1245116441
Name:HADUCH, NATHANIEL KENNETH
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:KENNETH
Last Name:HADUCH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ASTER
Other - Middle Name:
Other - Last Name:HADUCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:28 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1332
Mailing Address - Country:US
Mailing Address - Phone:978-339-3052
Mailing Address - Fax:
Practice Address - Street 1:869 MAIN ST
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2985
Practice Address - Country:US
Practice Address - Phone:508-794-5188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health