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General NPI Number Information
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NPI Number | 1417203324
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Entity Type | Organization
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Legal Business Name | SPIDALIERE PSYCHOLOGICAL ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/29/2012
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 505 W HOLLIS ST STE 208
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City | NASHUA
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State | NH
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Zip | 03062-1387
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Country | US
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Telephone | 603-889-2843
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Fax | 603-889-2803
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Provider Business Mailing Address
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Address Line | 505 W HOLLIS ST STE 208
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City | NASHUA
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State | NH
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Zip | 03062-1387
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Country | US
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Telephone | 603-889-2843
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Fax | 603-889-2803
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Authorized Official
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Title or Position | MANAGER/OWNER
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Name | DR. WILLIAM DARYL SPIDALIERE
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Credential | PSYD
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Telephone | 603-396-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | NH141
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License Number State | NH
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