Doctor Name: | CHRISTOPHER DEARBORN |
NPI Number: | 1235361684 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | |
Business Practice Address: | 255 Route 108 Somersworth, NH - 038781543 |
Business Phone Number: | 6036923166 |
Business Fax Number: | 6036923168 |
Mailing Address: | 255 Route 108, SOMERSWORTH |
State: | NH |
Postal Code: | 038781543 |
Phone Number: | 6036923166 |
Fax Number: | 6036923168 |
NPI Enumeration Date: | 08/19/2009 |
NPI Last Update Date: | 01/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |