Provider Demographics
NPI:1639818784
Name:DIAMONTI, ALFRED-JOHN (PHD)
Entity Type:Individual
Prefix:
First Name:ALFRED-JOHN
Middle Name:
Last Name:DIAMONTI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:AJ
Other - Middle Name:
Other - Last Name:DIAMONTI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:33 ALDERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-4214
Mailing Address - Country:US
Mailing Address - Phone:603-793-5502
Mailing Address - Fax:
Practice Address - Street 1:24 FRONT ST STE 100
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2727
Practice Address - Country:US
Practice Address - Phone:603-778-2005
Practice Address - Fax:603-883-0007
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1678103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical