Provider Demographics
NPI:1871001891
Name:CHRISTINE SPERRAZZA, LCMHC, PLLC
Entity Type:Organization
Organization Name:CHRISTINE SPERRAZZA, LCMHC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL MENTAL HEALTH COU
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPERRAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:978-846-1781
Mailing Address - Street 1:402 AMHERST ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-4227
Mailing Address - Country:US
Mailing Address - Phone:978-846-1781
Mailing Address - Fax:
Practice Address - Street 1:402 AMHERST ST STE 202
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-4227
Practice Address - Country:US
Practice Address - Phone:978-846-1781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1117101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3103990Medicaid