Provider Demographics
NPI:1982940722
Name:RICHARDS, JANET (BS,MS,LMT,MMP)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:BS,MS,LMT,MMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 HUBBARD RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4273
Mailing Address - Country:US
Mailing Address - Phone:603-866-1396
Mailing Address - Fax:
Practice Address - Street 1:1 RAYNES AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3769
Practice Address - Country:US
Practice Address - Phone:603-866-1396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3481M174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator