MEGAN BROTZ (NPI# 1841804507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841804507 |
| Entity Type | Individual |
| Full Name | MEGAN BROTZ |
| Other Name | MEGAN DETAMORE |
| Credential | EDS, NCSP |
| Practice Address |
300 Gorham Hill Rd Gorham NH 03581-4814 |
| Mailing Address |
812 Easton Valley Rd Franconia NH 03580-5406 |
| Practice Telephone | 6034665437 |
| Mailing Telephone | 9087971007 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
NH | Behavioral Health & Social Service Providers |
| Street Address |
300 GORHAM HILL RD |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| 1073040234 | Maryanne Eileen Christiansen | Physician Assistant | 2 Broadway Street, Gorham, NH 03581 | 2017-05-18 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912279 | Andrew Schinnerer | Psychologist | 860 Forest Rd, Greenfield, NH 03047-4301 | 2020-11-04 |
| 1992305866 | Pamela Robinson | Psychologist | 176a Main St, Conway, NH 03818-6164 | 2020-10-29 |
| 1386243814 | Kaitlyn Jean Mahoney | Psychologist | 108 Hancock Rd, Peterborough, NH 03458-1197 | 2020-10-26 |
| 1104433432 | Jessica E Macleod | Psychologist | 165 Broad St # 65, Claremont, NH 03743-3611 | 2020-09-30 |
| 1104430156 | Jessica Vermette | Psychologist | 75 Greenview Dr Apt 38, Manchester, NH 03102-8943 | 2020-09-06 |
| 1114530714 | Sandra Malott Crosson | Psychologist | 8 Swaan Dr, Lee, NH 03861-6606 | 2020-08-25 |
| 1467064642 | Erika Brazee | Psychologist | 2 Patriots Ln, Nottingham, NH 03290-5821 | 2020-08-19 |
| 1922626613 | Alfreda E Paiva | Psychologist | 331 Dean Rd, Grafton, NH 03240-3806 | 2020-07-08 |
| 1578187381 | Teneil Torino | Psychologist | 86 Old Ward Bridge Rd # Re, Plymouth, NH 03264-1244 | 2020-06-08 |
| 1295357499 | Zach Preston | Psychologist | 72 Linwood Dr, Lincoln, NH 03251-4441 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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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.