Provider Demographics
NPI:1487861563
Name:POSSELT, EDITH PARKER (EDD)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:PARKER
Last Name:POSSELT
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 SANBORN RD
Mailing Address - Street 2:
Mailing Address - City:CANTERBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03224-2321
Mailing Address - Country:US
Mailing Address - Phone:603-783-4014
Mailing Address - Fax:
Practice Address - Street 1:172 ROUTE 101
Practice Address - Street 2:UNIT 26
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5416
Practice Address - Country:US
Practice Address - Phone:603-836-0376
Practice Address - Fax:603-836-0377
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH683103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist