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Contact Information

ELLIOT PROFESSIONAL SERVICES
445 CYPRESS ST STE 8
ELLIOT BEHAVIORAL HEALTH SERVICES
MANCHESTER, NH03103-3600
 Phone: 603-668-4079
 Fax: 603-663-8605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ELLIOT PROFESSIONAL SERVICES · (Female)

NPI Number 1669431466
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2006
Last updated 06/20/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH Medicaid 30212259
  • NH Other CK3360 RR MEDICARE GRP PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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