Healthcare Provider Details

I. General information

NPI: 1255350344
Provider Name (Legal Business Name): SHIRLEY ANDERSON KIRBY PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S STATE ST
CONCORD NH
03301-3761
US

IV. Provider business mailing address

6 S STATE ST
CONCORD NH
03301-3761
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-3862
  • Fax: 603-226-0073
Mailing address:
  • Phone: 603-228-3862
  • Fax: 603-226-0073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number980
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number980
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number980
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number980
License Number StateNH
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number980
License Number StateNH
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number980
License Number StateNH
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number980
License Number StateNH
# 8
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number980
License Number StateNH
# 9
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number014949
License Number StateNY
# 10
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number014949
License Number StateNY
# 11
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number014949
License Number StateNY
# 12
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number014949
License Number StateNY
# 13
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number014949
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: