Provider Demographics
NPI: | 1851440747 |
---|---|
Name: | HUMAN DYNAMICS ASSOCIATES |
Entity Type: | Organization |
Organization Name: | HUMAN DYNAMICS ASSOCIATES |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PSYCHOTHERAPIST |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | HARRIET |
Authorized Official - Middle Name: | G |
Authorized Official - Last Name: | RESNICOFF |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LICSW |
Authorized Official - Phone: | 603-224-2841 |
Mailing Address - Street 1: | 85 WARREN ST |
Mailing Address - Street 2: | |
Mailing Address - City: | CONCORD |
Mailing Address - State: | NH |
Mailing Address - Zip Code: | 03301-3837 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 603-224-2841 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 85 WARREN ST |
Practice Address - Street 2: | |
Practice Address - City: | CONCORD |
Practice Address - State: | NH |
Practice Address - Zip Code: | 03301-3837 |
Practice Address - Country: | US |
Practice Address - Phone: | 603-224-2841 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-01-09 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NH | 405 | 101YM0800X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |