Provider Demographics
NPI:1124044540
Name:PILLEMER, JANE T (PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:T
Last Name:PILLEMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 DEARBORN BROOK CIR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-3138
Mailing Address - Country:US
Mailing Address - Phone:617-576-8135
Mailing Address - Fax:
Practice Address - Street 1:127 WATER ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2456
Practice Address - Country:US
Practice Address - Phone:617-576-8135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2987103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist