| Douglas Stephens Ed D Pllc | |
|
30 Charter St 10 Exeter NH 03833-2343 | |
| (518) 222-0133 | |
| (603) 232-3079 |
| Full Name | Douglas Stephens Ed D Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 30 Charter St, Exeter, New Hampshire |
| Authorized Official Name and Position | Douglas B Stephens (OWNER) |
| Authorized Official Contact | 5182220133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Stephens Ed D Pllc 30 Charter St 10 Exeter NH 03833-2343 Ph: (518) 222-0133 | Douglas Stephens Ed D Pllc 30 Charter St 10 Exeter NH 03833-2343 Ph: (518) 222-0133 |
| NPI Number | 1184017790 |
|---|---|
| Provider Enumeration Date | 03/07/2015 |
| Last Update Date | 03/07/2015 |
| Medicare PECOS PAC ID | 4880906015 |
|---|---|
| Medicare Enrollment ID | O20150701000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184017790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1542 (New Hampshire) | Primary |
| Provider Name | Douglas B Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558478339 PECOS PAC ID: 4082516158 Enrollment ID: I20121024000630 |
| Provider Name | Erica Hochberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376138834 PECOS PAC ID: 4587070537 Enrollment ID: I20210317000731 |
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