DR. SEOKA A. SALSTROM (NPI# 1710160650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710160650 |
Entity Type | Individual |
Full Name | DR. SEOKA A. SALSTROM |
Credential | PHD |
Practice Address |
45 Lyme Rd Suite 305a Hanover NH 03755 |
Practice Telephone | 6037556535 |
Practice Fax Number | 6033899331 |
Mailing Telephone | 6037556535 |
Mailing Fax Number | 6033899331 |
Enumeration Date | 2007-12-13 |
Last Update Date | 2018-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-007362 | IL | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
048.0110832 | VT | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
1370 | NH | Behavioral Health & Social Service Providers |
N | 103TC0700X |
Psychologist Specialization: Clinical |
071.007362 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE LICENSE | 071.007362 | 01 |
Street Address |
45 LYME RD SUITE 305A |
City | HANOVER |
State | NH |
Zip Code | 03755 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457352429 | Rex Gardner Carr | Physical Medicine & Rehabilitation | 45 Lyme Rd, Suite 102, Hanover, NH 03755-1220 | 2005-08-02 |
1225580590 | Raymond A Howard, Licsw, LLC | Social Worker | 45 Lyme Rd, Suite 200, Hanover, NH 03755-1219 | 2016-11-02 |
1083072672 | Claudette Peck | Counselor | 45 Lyme Rd, Suite 204, Hanover, NH 03755-1219 | 2016-02-10 |
1013350784 | Blackburn Consulting, LLC | Physical Therapist | 45 Lyme Rd, Suite 206a, Hanover, NH 03755-1219 | 2013-04-12 |
1851645477 | Montshire Pediatrics, PC | Clinic/Center | 45 Lyme Rd, Suite 105, Hanover, NH 03755-1219 | 2012-11-05 |
1457654543 | Montshire Pediatrics PC | Pediatrics | 45 Lyme Rd, Hanover, NH 03755-1219 | 2010-12-10 |
1588998611 | Lois H Donelson | Physical Therapist | 45 Lyme Rd, Suite 303, Hanover, NH 03755-1219 | 2009-09-22 |
1265669790 | Be Fit Physical Therapy, LLC | Physical Therapist | 45 Lyme Rd, Suite 101, Hanover, NH 03755-1219 | 2009-06-11 |
1063616944 | David R Barlow | Physical Therapist | 45 Lyme Rd, Suite 303, Hanover, NH 03755-1219 | 2007-06-13 |
1588867667 | Hanover Continuity Clinic, Pllc | Clinic/Center | 45 Lyme Rd, Suite 104, Hanover, NH 03755-1220 | 2007-06-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457950636 | Yuriko Fujioka | Specialist/Technologist | Hb 6083 Dartmouth College Alumni Gym, Hanover, NH 03755 | 2020-10-20 |
1538667761 | Caleb Crowell | Specialist/Technologist | Floren Varsity House Athletic Training Room 111, Dartmouth College, Hanover, NH 03755 | 2018-01-23 |
1386159820 | Caitlin M Colitti | Specialist/Technologist | East Wheelock St, Alumni Gymnasium Dartmouth College, Hanover, NH 03755 | 2017-12-06 |
1801227566 | Rachel Johnson | Registered Nurse | 1 S Bach St, Hanover, NH 03755 | 2013-12-06 |
1528329703 | Martin Lubin | Family Medicine | 21 Lyme Road, Hanover, NH 03755 | 2012-06-04 |
1528360435 | Doris Marie Faughnan | Counselor | 50 Greensboro Road, Unit #109, Hanover, NH 03755 | 2010-11-29 |
1952612517 | Steven J Mann | Physical Therapist | 45 Lyme Road, Suite 101, Hanover, NH 03755 | 2010-06-29 |
1720109143 | Nicole R Humann | Specialist/Technologist | East Wheelock, Hb 6083, Hanover, NH 03755 | 2007-04-03 |
1093840951 | Tracy A Purcell | Specialist/Technologist | 1 Crosby St., Davis Varsity House, Hanover, NH 03755 | 2007-02-22 |
1043355696 | Jeffrey C. Frechette | Specialist/Technologist | Hb 6083, Dartmouth College, Hanover, NH 03755 | 2007-02-21 |
Find all providers in zip 03755 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033472188 | Aida Cajdric-vrhovac | Psychologist | 24 Rockland St Ste 7, Hanover, MA 02339-2226 | 2012-06-22 |
1568592939 | Demetra Rabiecki Lacrosse | Psychologist | 7 Allen St Fl 3, Hanover, NH 03755-2065 | 2007-03-06 |
1780722207 | Paul Robert Clavelle | Psychologist | 7272 Park Circle Dr, Suite 170, Hanover, MD 21076-1303 | 2007-02-05 |
1164535530 | Thomas B. Gamble | Psychologist | 41 Lebanon St, Hanover, NH 03755-2147 | 2006-08-17 |
1417060963 | Raymond J. Chin | Psychologist | 43 Lebanon St, Hanover, NH 03755-2513 | 2006-08-17 |
1821480401 | Joseph Carl Langone | Psychologist | 17 Church St, Hanover, MA 02339-2315 | 2015-02-19 |
1598005845 | Shanna Treworgy | Psychologist | 23 S Main St, Suite 2b, Hanover, NH 03755-2075 | 2013-02-25 |
1467734236 | Keri Lee Height | Psychologist | 23 S Main St, Suite 2b, Hanover, NH 03755-2075 | 2011-09-16 |
1376861617 | Lyndon J. Aguiar | Psychologist | 10515 Cabaniss Ln, Hanover, VA 23069-1840 | 2010-05-11 |
1700095999 | Heather Nara Hersh | Psychologist | 5 Rope Ferry Rd, Hanover, NH 03755-1404 | 2007-05-22 |
Find all providers in HANOVER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.