Basic Information
Provider Information
NPI: 1518925502
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RATHER
FirstName: NAOMI
MiddleName: BETH
NamePrefix:  
NameSuffix:  
Credential: LCMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 SHATTUCK WAY
Address2:  
City: NEWINGTON
State: NH
PostalCode: 038018004
CountryCode: US
TelephoneNumber: 6034316677
FaxNumber: 6036107724
Practice Location
Address1: 100 SHATTUCK WAY
Address2:  
City: NEWINGTON
State: NH
PostalCode: 038018004
CountryCode: US
TelephoneNumber: 6034316677
FaxNumber: 6036107724
Other Information
ProviderEnumerationDate: 05/02/2006
LastUpdateDate: 06/24/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X397NHY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


Home