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Eastern Light Psychiatry
Psychiatric/Mental Health Nurse Practitioner in Northwood, New Hampshire
NPI 1336915495

Eastern Light Psychiatry is a Psychiatric/Mental Health Nurse Practitioner based in Northwood, NH and is specialized in Psychiatric/Mental Health. Eastern Light Psychiatry practices in Northwood, NH. The NPI Number for Eastern Light Psychiatry is 1336915495 and holds a License No. (New Hampshire).

The current practice location address for Eastern Light Psychiatry is 333 Blakes Hill Rd, Northwood, NH and can be reached out via phone at 208-313-9590.

Location: 333 Blakes Hill Rd, Northwood, NH, 03261-3930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336915495
Provider Name
Eastern Light Psychiatry
Credential
Provider Entity Type
Organization
Address
333 Blakes Hill Rd, Northwood, NH, 03261-3930
Phone Number
208-313-9590
Fax Number
Provider Enumeration Date
11/30/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
333 Blakes Hill Rd
City
Northwood
State
New Hampshire
Zip
03261-3930
Phone Number
208-313-9590
Fax Number
person
Provider Business Mailing Address Details
Address
333 Blakes Hill Rd
City
Northwood
State
New Hampshire
Zip
03261-3930
Phone Number
208-313-9590
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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