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NPI Code Detail

MEDICARE: SUSAN HAMANN LMFT

MEDICARE: SUSAN HAMANN LMFT
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
1106H00000XMarriage & Family Therapist154NH

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 : 1427305234
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN HAMANN LMFT
Provider Business Mailing Address
First Line : 323 GONIC RD STE 2A
Second Line :
City : ROCHESTER
State : NH
Zip : 03839-5689
Country : US
Telephone Number : 603-332-8000
Fax Number : 603-601-4476
Provider Business Practice Location Address
First Line : 323 GONIC RD STE 2A
Second Line :
City : ROCHESTER
State : NH
Zip : 03839-5689
Country : US
Telephone Number : 603-332-8000
Fax Number : 603-601-4476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2012
Last Update Date : 04/28/2021

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