Doctor Name: | MR. ROBERT EDWARD DORLEY |
NPI Number: | 1003243189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LADC |
License Number: | 438 |
Business Practice Address: | 206 Fair St Borderline Counseling Services Laconia, NH - 032463366 |
Business Phone Number: | 6035819196 |
Business Fax Number: | 6035278249 |
Mailing Address: | 206 Fair St, Borderline Counseling Services LACONIA |
State: | NH |
Postal Code: | 032463366 |
Phone Number: | 6035819196 |
Fax Number: | 6035278249 |
NPI Enumeration Date: | 10/03/2013 |
NPI Last Update Date: | 07/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 438 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |