Provider Demographics
NPI:1851509038
Name:KRITKAUSKY, ROBERT PETER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PETER
Last Name:KRITKAUSKY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6D HILLS AVE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4803
Mailing Address - Country:US
Mailing Address - Phone:603-226-2607
Mailing Address - Fax:
Practice Address - Street 1:6D HILLS AVE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4803
Practice Address - Country:US
Practice Address - Phone:603-226-2607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH494103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH19763OtherCIGNA
NHP830141OtherOXFORD
NH010105OtherVALUE OPTIONS
NH30006776Medicaid
NHKRIT628030OtherANTHEM BLUE CROSS
NH30006776Medicaid