Basic Information
Provider Information
NPI: 1861766883
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMEL
FirstName: ALYSSA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: MSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 HOLLAND WAY FL 1
Address2:  
City: EXETER
State: NH
PostalCode: 038332997
CountryCode: US
TelephoneNumber: 6037750000
FaxNumber: 6037750247
Practice Location
Address1: 21 HAMPTON RD BLDG 3
Address2:  
City: EXETER
State: NH
PostalCode: 03833
CountryCode: US
TelephoneNumber: 6037750000
FaxNumber: 6037750247
Other Information
ProviderEnumerationDate: 03/08/2012
LastUpdateDate: 05/09/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X1953NHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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