Provider Demographics
NPI:1275595423
Name:MARCHAND, RICHARD H (PHD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:H
Last Name:MARCHAND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LOWELL ST STE 503
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1647
Mailing Address - Country:US
Mailing Address - Phone:603-623-3505
Mailing Address - Fax:603-641-0527
Practice Address - Street 1:25 LOWELL ST
Practice Address - Street 2:SUITE 503
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1647
Practice Address - Country:US
Practice Address - Phone:603-623-3505
Practice Address - Fax:603-641-0527
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH296103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003321Medicaid
NH0606901Y0NH01OtherANTHEM BCBS
NH30003321Medicaid