Healthcare Provider Details

I. General information

NPI: 1639550338
Provider Name (Legal Business Name): JOSEPH SAXE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 06/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 LINCOLN AVE
PORTSMOUTH NH
03801-5062
US

IV. Provider business mailing address

570 LINCOLN AVE
PORTSMOUTH NH
03801-5062
US

V. Phone/Fax

Practice location:
  • Phone: 603-767-6464
  • Fax:
Mailing address:
  • Phone: 603-767-6464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number28348
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number58
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: