Wesley Shattuck in Londonderry - Mental Health

Wesley Shattuck - NPI 1356440648

Wesley Shattuck is a Mental Health in Londonderry, New Hampshire. Wesley Shattuck practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Wesley Shattuck is 1356440648. The last update date is 2012-04-05.

Wesley Shattuck's current location address is 226 Rockingham Rd, Londonderry, New Hampshire. You can contact this provider via phone number 6034252989 and fax number 6034252978. The mailing address for Wesley Shattuck is 226 Rockingham Rd, Londonderry, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Wesley Shattuck
Address 226 Rockingham Rd, Londonderry, New Hampshire
Phone Number 6034252989
Fax Number 6034252978
Sole Proprietor N
Credentials M.ED., LCM

NPI Number Detail

NPI Number 1356440648
Provider Enumeration Date 2006-09-22
Last Updated Date 2012-04-05

Provider Mailing Address Detail

Address 226 Rockingham Rd
City Londonderry
State New Hampshire (NH)
Post Code 30532107
Phone Number 6034252989
Fax Number 6034252978

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 157
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1409478Y0NH01 NH BLUE CROSS BLUE SHIELD NH
30423041 NH --

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FAQs about Wesley Shattuck

What is the unique identification code assigned to Wesley Shattuck by the Centers for Medicare & Medicaid Services?

The Wesley Shattuck has been issued the NPI (National Provider Identifier) 1356440648. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Wesley Shattuck's facilities are geographically located?

The facilities of Wesley Shattuck are physically situated at the following location: 226 Rockingham Rd, Londonderry, NH, 30532107.

What is Wesley Shattuck's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Wesley Shattuck is Mental Health, and the corresponding taxonomy classification code for this specialized field is 101Ym0800X.

When did Wesley Shattuck receive its 1356440648 assignment?

The Wesley Shattuck was assigned its 1356440648 on 2006-09-22, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Wesley Shattuck last refreshed?

The information related to the Wesley Shattuck, including its address, specialty, and other relevant details, was last updated on 2012-04-05.

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