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NPI Code Detail

MEDICARE: BEDFORD FAMILY THERAPY, LLC

MEDICARE: BEDFORD FAMILY THERAPY, LLC
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 Therapist70NH
2106H00000XMarriage & Family Therapist126NH
3106H00000XMarriage & Family Therapist98NH
41041C0700XClinical Social Worker1496NH
5106H00000XMarriage & Family Therapist71NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11225231012OTHERNPI
21780708776OTHERNPI
31659411668OTHERNPI
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51861430548OTHERNPI

General Provider Information

NPI Number : 1952617128
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEDFORD FAMILY THERAPY, LLC
Provider Business Mailing Address
First Line : 10 COMMERCE PARK N
Second Line : UNIT 1A
City : BEDFORD
State : NH
Zip : 03110-6905
Country : US
Telephone Number : 603-606-1233
Fax Number :
Provider Business Practice Location Address
First Line : 10 COMMERCE PARK N
Second Line : UNIT 1A
City : BEDFORD
State : NH
Zip : 03110-6905
Country : US
Telephone Number : 603-606-1233
Fax Number :
Authorized Official
Title or Position : OWNER, THERAPIST
Name : ALLISON DOYLE
Credential : M.S., LMFT
Telephone Number : 603-218-6073
Provider Enumeration Date : 08/26/2010
Last Update Date : 08/13/2014

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Directions to “BEDFORD FAMILY THERAPY, LLC ” Practice Location

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