Healthcare Provider Details

I. General information

NPI: 1720916919
Provider Name (Legal Business Name): BEAR PATH PSYCHOLOGY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 HARTFORD LN APT K
NASHUA NH
03063-1939
US

IV. Provider business mailing address

7 HARTFORD LN APT K
NASHUA NH
03063-1939
US

V. Phone/Fax

Practice location:
  • Phone: 203-258-6328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY KELEMEN
Title or Position: OWNER
Credential: PSY.D.
Phone: 203-258-6328