Organization Name: | BOW ADULT COUNSELING SERVICES, P.L.L.C. |
NPI Number: | 1215046818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANET A. LEVENSON (PSYCHOLOGIST/OWNER) |
Mailing Address: | 722 Route 3a Suite 16 Bow |
State: | NH US |
Postal Code: | 033044010 |
Phone Number: | 6032309444 |
Fax Number: | 6032289990 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |