MEDICARE: COCHECHO VALLEY MENTAL HEALTH

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
1	103TC0700X	Clinical Psychologist	355	NH

General Provider Information

NPI Number	:	1295923761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COCHECHO VALLEY MENTAL HEALTH

Provider Business Mailing Address
First Line	:	90 WASHINGTON ST
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-3744
Country	:	US
Telephone Number	:	603-749-0992
Fax Number	:

Provider Business Practice Location Address
First Line	:	90 WASHINGTON ST
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-3744
Country	:	US
Telephone Number	:	603-749-0992
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. CRAIG E. STENSLIE
Credential	:
Telephone Number	:	603-749-0992

Provider Enumeration Date	:	10/10/2007
Last Update Date	:	10/10/2007

Similar Medicare Providers

1295757276 — CRAIG E. STENSLIE PH.D.
Practice Location Address:

90 WASHINGTON ST , SUITE 304
DOVER, NH
03820-3744

Practice Phone: 603-749-0992
Practice Fax:

1841397403 — DR. THOMAS FRANCIS BURNS PH.D.
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03820-3744

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1700971249 — MR. CRAIG HOYT HADLEY LICSW
Practice Location Address:

90 WASHINGTON ST , SUITE 306A
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03820-3744

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1366625865 — MARJORIE W BRIAND MSW
Practice Location Address:

90 WASHINGTON ST , SUITE 301E
DOVER, NH
03820-3744

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1184950941 — SARA SULLIVAN MA, LCMHC
Practice Location Address:

90 WASHINGTON ST
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03820-3744

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1851694434 — J & M MULLEN ENTERPRISE, LLC
Practice Location Address:

90 WASHINGTON ST , SUITE 212
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Directions to “COCHECHO VALLEY MENTAL HEALTH ” Practice Location

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