Healthcare Provider Details

I. General information

NPI: 1417083429
Provider Name (Legal Business Name): DEBRA VALORI MCQUADE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 06/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 CLINTON ST NEW HAMPSHIRE HOSPITAL
CONCORD NH
03301-2359
US

IV. Provider business mailing address

36 CLINTON ST NEW HAMPSHIRE HOSPITAL
CONCORD NH
03301-2359
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-5300
  • Fax:
Mailing address:
  • Phone: 603-271-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number11030
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number11030
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: