Provider Demographics
NPI:1326286337
Name:DALPRA, PETER ALLEN (LADC)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:ALLEN
Last Name:DALPRA
Suffix:
Gender:M
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 WILDFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-3445
Mailing Address - Country:US
Mailing Address - Phone:603-856-1454
Mailing Address - Fax:
Practice Address - Street 1:20 WILDFLOWER DR
Practice Address - Street 2:
Practice Address - City:PENACOOK
Practice Address - State:NH
Practice Address - Zip Code:03303-3445
Practice Address - Country:US
Practice Address - Phone:603-856-1454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-29
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0439101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)