Provider Demographics
NPI:1619285061
Name:HUSSEY, CAITLIN GILMOUR
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:GILMOUR
Last Name:HUSSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 INTERNATIONAL DR
Mailing Address - Street 2:SUITE 157
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6833
Mailing Address - Country:US
Mailing Address - Phone:603-493-8489
Mailing Address - Fax:
Practice Address - Street 1:200 INTERNATIONAL DR
Practice Address - Street 2:SUITE 157
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6833
Practice Address - Country:US
Practice Address - Phone:603-493-8489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist