Healthcare Provider Details

I. General information

NPI: 1679803589
Provider Name (Legal Business Name): HILLARY DAWN HARTWICK LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2009
Last Update Date: 12/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MEMBERS WAY SUITE 401
DOVER NH
03820-5933
US

IV. Provider business mailing address

789 CENTRAL AVE
DOVER NH
03820-2526
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-9200
  • Fax:
Mailing address:
  • Phone: 603-742-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number173
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: