Provider Demographics
NPI:1497806228
Name:PARISI, DAVID HENRY (MSW)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HENRY
Last Name:PARISI
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 7271
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03247-7271
Mailing Address - Country:US
Mailing Address - Phone:603-528-6060
Mailing Address - Fax:
Practice Address - Street 1:25 COUNTRY CLUB RD
Practice Address - Street 2:SUITE 504
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6972
Practice Address - Country:US
Practice Address - Phone:603-528-6060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007703Medicaid
NHRE 4474Medicare ID - Type Unspecified