Healthcare Provider Details

I. General information

NPI: 1548217656
Provider Name (Legal Business Name): EXETER PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 PORTSMOUTH AVE STE 7
GREENLAND NH
03840
US

IV. Provider business mailing address

370 PORTSMOUTH AVE STE 7
GREENLAND NH
03840-2252
US

V. Phone/Fax

Practice location:
  • Phone: 603-772-2187
  • Fax: 603-772-0477
Mailing address:
  • Phone: 603-772-2187
  • Fax: 603-772-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH H. HAMILTON
Title or Position: VICE PRESIDENT/PROVIDER
Credential: LICSW
Phone: 603-692-4060