Provider Demographics
NPI:1548217656
Name:EXETER PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:EXETER PSYCHOLOGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-692-4060
Mailing Address - Street 1:370 PORTSMOUTH AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:GREENLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03840-2252
Mailing Address - Country:US
Mailing Address - Phone:603-772-2187
Mailing Address - Fax:603-772-0477
Practice Address - Street 1:370 PORTSMOUTH AVE STE 7
Practice Address - Street 2:
Practice Address - City:GREENLAND
Practice Address - State:NH
Practice Address - Zip Code:03840
Practice Address - Country:US
Practice Address - Phone:603-772-2187
Practice Address - Fax:603-772-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHEXRE3662Medicare ID - Type UnspecifiedGROUP ID