Provider Demographics
NPI:1972696656
Name:MAY, KATHRYN NEELD (MSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:NEELD
Last Name:MAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 BROAD STREET
Mailing Address - Street 2:SUITE 1532
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063
Mailing Address - Country:US
Mailing Address - Phone:603-889-6089
Mailing Address - Fax:603-889-6083
Practice Address - Street 1:154 BROAD STREET
Practice Address - Street 2:SUITE 1532
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063
Practice Address - Country:US
Practice Address - Phone:603-889-6089
Practice Address - Fax:603-889-6083
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30420848Medicaid
NH30420848Medicaid