Provider Demographics
NPI:1740705706
Name:BOMIL, CHRISTOPHER PETER (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:PETER
Last Name:BOMIL
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 ASTERIA LN UNIT 312
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-4009
Mailing Address - Country:US
Mailing Address - Phone:224-730-0437
Mailing Address - Fax:
Practice Address - Street 1:187 N STATE ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5020
Practice Address - Country:US
Practice Address - Phone:603-856-8163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1661103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical