| Building Blocks Child And Adult Psychotherapy, Llc | |
|
20 Grove St Ste. 200 Peterborough NH 03458-1470 | |
| (603) 831-6392 | |
| (603) 924-4215 |
| Full Name | Building Blocks Child And Adult Psychotherapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 20 Grove St, Peterborough, New Hampshire |
| Authorized Official Name and Position | Ross Whitney Davidson (OWNER/CLINICIAN) |
| Authorized Official Contact | 6038316392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Building Blocks Child And Adult Psychotherapy, Llc 20 Grove St Ste. 200 Peterborough NH 03458-1470 Ph: (603) 831-6392 | Building Blocks Child And Adult Psychotherapy, Llc 20 Grove St Ste. 200 Peterborough NH 03458-1470 Ph: (603) 831-6392 |
| NPI Number | 1598184012 |
|---|---|
| Provider Enumeration Date | 04/11/2014 |
| Last Update Date | 04/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598184012 | NPI | - | NPPES |
| 3089977 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 985 (New Hampshire) | Primary |
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Building Blocks Child And Adult Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Grove St, Suite 200, Peterborough, NH 03458 Phone: 603-831-6392 Fax: 603-924-4215 | |
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