Healthcare Provider Details

I. General information

NPI: 1932036944
Provider Name (Legal Business Name): BRETT BILLINGS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 N MAIN ST
BRISTOL NH
03222-4521
US

IV. Provider business mailing address

155 N MAIN ST
BRISTOL NH
03222-4521
US

V. Phone/Fax

Practice location:
  • Phone: 603-744-8162
  • Fax:
Mailing address:
  • Phone: 603-744-8162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number147375
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: