Healthcare Provider Details

I. General information

NPI: 1851468649
Provider Name (Legal Business Name): MINDY ELLEN CHADROW PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HAMPTON FALLS RD
EXETER NH
03833-3133
US

IV. Provider business mailing address

7 HAMPTON FALLS RD
EXETER NH
03833-3133
US

V. Phone/Fax

Practice location:
  • Phone: 603-686-0404
  • Fax:
Mailing address:
  • Phone: 603-686-0404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number769
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3646
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: