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NPI Code Detail

MEDICARE: MS. DEBORAH A HRDLICKA MA

MEDICARE: MS. DEBORAH A HRDLICKA MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorLCMHC203NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235223322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH A HRDLICKA MA
Provider Business Mailing Address
First Line : PO BOX 503
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-0503
Country : US
Telephone Number : 603-356-4114
Fax Number : 603-356-4118
Provider Business Practice Location Address
First Line : 170 KEARSARGE RD
Second Line :
City : NORTH CONWAY
State : NH
Zip : 03860-5331
Country : US
Telephone Number : 603-356-4114
Fax Number : 603-356-4118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/21/2012

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