Healthcare Provider Details

I. General information

NPI: 1932255106
Provider Name (Legal Business Name): ANATH CHANA GOLOMB PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 ISLINGTON ST SUITE 3
PORTSMOUTH NH
03801-4225
US

IV. Provider business mailing address

3 BRIARWOOD LN
DURHAM NH
03824-2100
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-0064
  • Fax:
Mailing address:
  • Phone: 603-868-1619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number762
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number762
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: