Basic Information
Provider Information
NPI: 1639160740
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAHILL
FirstName: CRISTIN
MiddleName: MARIE
NamePrefix: MS.
NameSuffix:  
Credential: M.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 333 FOX HOLLOW DR
Address2:  
City: HUDSON
State: NH
PostalCode: 030514882
CountryCode: US
TelephoneNumber: 6038800907
FaxNumber:  
Practice Location
Address1: 7 PROSPECT ST
Address2:  
City: NASHUA
State: NH
PostalCode: 030603921
CountryCode: US
TelephoneNumber: 6038896147
FaxNumber: 6038831568
Other Information
ProviderEnumerationDate: 10/31/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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