Provider Demographics
NPI:1477576940
Name:HINDY, CARL GEORGE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:GEORGE
Last Name:HINDY
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 1:120 MAIN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2707
Mailing Address - Country:US
Mailing Address - Phone:603-880-8773
Mailing Address - Fax:
Practice Address - Street 1:120 MAIN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2707
Practice Address - Country:US
Practice Address - Phone:603-880-8773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH393103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80009390Medicaid
NH0603322Y0NH01OtherBLUE CROSS BLUE SHIELD OF
NH0603322Y0NH01OtherBLUE CROSS BLUE SHIELD OF