Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 173 | NH |
N | 103T00000X | Psychologist | 173 | NH |
N | 102L00000X | Psychologist | 746 | VT |
N | 103T00000X | Psychologist | 746 | VT |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 173 | NH |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 746 | VT |
N | 103G00000X | Clinical Psychologist | 173 | NH |
N | 103TC0700X | Clinical Psychologist | 173 | NH |
N | 103G00000X | Clinical Psychologist | 746 | VT |
N | 103TC0700X | Clinical Psychologist | 746 | VT |
N | 103TF0200X | Forensic Psychologist | 173 | NH |
N | 103TF0200X | Forensic Psychologist | 746 | VT |
N | 103TH0100X | Health Service | 173 | NH |
N | 103TH0100X | Health Service | 746 | VT |
N | 103TM1800X | Intellectual & Developmental Disabilities | 173 | NH |
N | 103TM1800X | Intellectual & Developmental Disabilities | 746 | VT |
NPI | 1295888600 |
---|---|
Provider Name | Dr. Philip J. Kinsler |
First Address | Lyme, NH 03768-3003 |
Second Address | Lyme, NH 03768-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NH2886 | BC-BS PROVIDER# (01) | NH |