NPI 1013657618
Supportive Care of New Hampshire LLC
Practice location
- Address
- 20 Chester Rd, Derry, NH 03038-1636
- Phone
- (718) 298-4375
- Mailing address
- 27 Randolph Rd, Howell, NJ 07731-8611
Authorised official
- Name
- Raphael Lichtschein
- Title
- President
- Phone
- (718) 298-4375
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1013657618
- Entity type
- Organization
- NPI issued
- 31 Mar 2022
- Record last updated
- 31 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.