Provider Demographics
NPI:1598802605
Name:NEELY, ERIN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:NEELY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:PAWSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:449 PORTSMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:GREENLAND
Mailing Address - State:NH
Mailing Address - Zip Code:03840
Mailing Address - Country:US
Mailing Address - Phone:603-531-1177
Mailing Address - Fax:603-206-7893
Practice Address - Street 1:449 PORTSMOUTH AVE
Practice Address - Street 2:
Practice Address - City:GREENLAND
Practice Address - State:NH
Practice Address - Zip Code:03840
Practice Address - Country:US
Practice Address - Phone:603-531-1177
Practice Address - Fax:603-206-7893
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1092103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical