Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 43 | NH |
NPI | 1063573335 |
---|---|
Provider Name | Dr. Stephen M. Price |
First Address | Keene, NH 03431-3103 |
Second Address | Keene, NH 03431-3103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30422925 | (05) | NH |