Provider Demographics
NPI:1942816996
Name:O'BRIEN, AMORETTE HARBECK HOWLAND (MSFT)
Entity Type:Individual
Prefix:
First Name:AMORETTE
Middle Name:HARBECK HOWLAND
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MSFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 INDIAN ROCK RD STE 12
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:25 INDIAN ROCK RD STE 12
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1691
Practice Address - Country:US
Practice Address - Phone:203-962-2506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist