Provider Demographics
NPI:1730462698
Name:GOCHIS WHITNEY, MICHELLE MARY
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MARY
Last Name:GOCHIS WHITNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:MG
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AVANCED MASTERS
Mailing Address - Street 1:2 ABBOTT ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4001
Mailing Address - Country:US
Mailing Address - Phone:603-883-4942
Mailing Address - Fax:
Practice Address - Street 1:2 ABBOTT ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4001
Practice Address - Country:US
Practice Address - Phone:603-883-4942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health