Provider Demographics
NPI:1497960652
Name:BEWLEY, ANNE R (LMCH, LADC)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:R
Last Name:BEWLEY
Suffix:
Gender:F
Credentials:LMCH, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 HOLDERNESS RD
Mailing Address - Street 2:PO BOX 387
Mailing Address - City:CENTER SANDWICH
Mailing Address - State:NH
Mailing Address - Zip Code:03227-3100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:58 HOLDERNESS RD
Practice Address - Street 2:
Practice Address - City:CENTER SANDWICH
Practice Address - State:NH
Practice Address - Zip Code:03227-3100
Practice Address - Country:US
Practice Address - Phone:603-986-6429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH140101YA0400X
NH33101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health