| Phyllis Craig, Phd, Inc | |
|
24 Front St Exeter NH 03833-2727 | |
| (603) 778-0505 | |
| (603) 772-6761 |
| Full Name | Phyllis Craig, Phd, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 24 Front St, Exeter, New Hampshire |
| Authorized Official Name and Position | Phyllis Lee Craig (PROVIDER) |
| Authorized Official Contact | 6037780505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Craig, Phd, Inc 24 Front St Exeter NH 03833-2727 Ph: (603) 778-0505 | Phyllis Craig, Phd, Inc 24 Front St Exeter NH 03833-2727 Ph: (603) 778-0505 |
| NPI Number | 1669842183 |
|---|---|
| Provider Enumeration Date | 09/26/2015 |
| Last Update Date | 09/26/2015 |
| Medicare PECOS PAC ID | 1557661048 |
|---|---|
| Medicare Enrollment ID | O20151207001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669842183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1033 (New Hampshire) | Primary |
| Provider Name | Phyllis L Craig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528182490 PECOS PAC ID: 8527049139 Enrollment ID: I20040528000714 |
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