Healthcare Provider Details

I. General information

NPI: 1861324741
Provider Name (Legal Business Name): STEPHANIE NICOLE SANTIAGO TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 THIRD ST FL 2
DOVER NH
03820-3316
US

IV. Provider business mailing address

15 SYCAMORE ST
HUDSON NH
03051-4734
US

V. Phone/Fax

Practice location:
  • Phone: 603-272-7620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: