Healthcare Provider Details

I. General information

NPI: 1538394747
Provider Name (Legal Business Name): AMHERST PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2009
Last Update Date: 06/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 ROUTE 101A UNIT 3
AMHERST NH
03031-2739
US

IV. Provider business mailing address

27 ROUTE 101A UNIT 3
AMHERST NH
03031-2739
US

V. Phone/Fax

Practice location:
  • Phone: 603-769-3114
  • Fax: 603-769-3115
Mailing address:
  • Phone: 603-769-3114
  • Fax: 603-769-3115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number967
License Number StateNH

VIII. Authorized Official

Name: DR. DEBORAH J LEVASSEUR
Title or Position: OWNER
Credential: PH.D.
Phone: 603-769-3114