Provider Demographics
NPI:1316041700
Name:KAMEN, DAVID G (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:G
Last Name:KAMEN
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 502
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:603-867-0333
Mailing Address - Fax:603-218-6697
Practice Address - Street 1:25 LOWELL ST STE 502
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1647
Practice Address - Country:US
Practice Address - Phone:603-867-0333
Practice Address - Fax:603-218-6697
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1008103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical