Healthcare Provider Details

I. General information

NPI: 1316868672
Provider Name (Legal Business Name): ELIZABETH ANNE PADGETT WELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 PALOMINO LN
BEDFORD NH
03110-6447
US

IV. Provider business mailing address

289 STAGE RD
NOTTINGHAM NH
03290-6207
US

V. Phone/Fax

Practice location:
  • Phone: 603-819-3816
  • Fax:
Mailing address:
  • Phone: 603-988-2019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1040
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: