Basic Information
| Provider Information | |||||||||
| NPI: | 1275802928 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FILLIO | ||||||||
| FirstName: | PATRICIA | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | LCMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 QUAKER ST. | ||||||||
| Address2: | |||||||||
| City: | NEWTON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03858 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038196913 | ||||||||
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| Practice Location | |||||||||
| Address1: | 311 ROUTE 108 | ||||||||
| Address2: | SUITE 204 | ||||||||
| City: | SOMERSWORTH | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038781522 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037429200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2011 | ||||||||
| LastUpdateDate: | 12/27/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 875 | NH | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.