| Spidaliere Psychological Associates, Llc | |
|
505 W Hollis St Ste 208 Nashua NH 03062-1387 | |
| (603) 889-2843 | |
| (603) 889-2803 |
| Full Name | Spidaliere Psychological Associates, Llc |
|---|---|
| Speciality | Counselor |
| Location | 505 W Hollis St Ste 208, Nashua, New Hampshire |
| Authorized Official Name and Position | William Daryl Spidaliere (MANAGER/OWNER) |
| Authorized Official Contact | 6033966050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spidaliere Psychological Associates, Llc 505 W Hollis St Ste 208 Nashua NH 03062-1387 Ph: (603) 889-2843 | Spidaliere Psychological Associates, Llc 505 W Hollis St Ste 208 Nashua NH 03062-1387 Ph: (603) 889-2843 |
| NPI Number | 1417203324 |
|---|---|
| Provider Enumeration Date | 07/29/2012 |
| Last Update Date | 03/20/2025 |
| Certification Date | 03/20/2025 |
| Medicare PECOS PAC ID | 8729502935 |
|---|---|
| Medicare Enrollment ID | O20250409002641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417203324 | NPI | - | NPPES |
| 30426889 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | NH141 (New Hampshire) | Primary |
| Provider Name | Sherry L Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235189523 PECOS PAC ID: 0143510230 Enrollment ID: I20170814002877 |
| Provider Name | Katherine Anne Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104585280 PECOS PAC ID: 0840714804 Enrollment ID: I20250411000262 |
| Provider Name | Megan Theresa Hussey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225568678 PECOS PAC ID: 7810411899 Enrollment ID: I20250411000993 |
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