Provider Demographics
NPI:1295888600
Name:KINSLER, PHILIP J (PHD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:J
Last Name:KINSLER
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 1:161 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LYME
Mailing Address - State:NH
Mailing Address - Zip Code:03768-3003
Mailing Address - Country:US
Mailing Address - Phone:603-795-4441
Mailing Address - Fax:603-795-4461
Practice Address - Street 1:161 RIVER RD
Practice Address - Street 2:
Practice Address - City:LYME
Practice Address - State:NH
Practice Address - Zip Code:03768-3003
Practice Address - Country:US
Practice Address - Phone:603-795-4441
Practice Address - Fax:603-795-4461
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH173103T00000X, 103TA0400X, 103TC0700X, 103TF0200X, 103TH0100X, 103TM1800X
VT746103T00000X, 103TA0400X, 103TC0700X, 103TF0200X, 103TH0100X, 103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH2886OtherBC-BS PROVIDER#
NHNH2886OtherBC-BS PROVIDER#