Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 014949 | NY |
N | 103T00000X | Psychologist | 014949 | NY |
N | 102L00000X | Psychologist | 980 | NH |
N | 103T00000X | Psychologist | 980 | NH |
N | 103TA0700X | Adult Development & Aging Psychologist | 980 | NH |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 014949 | NY |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 980 | NH |
N | 103G00000X | Clinical Psychologist | 014949 | NY |
N | 103TC0700X | Clinical Psychologist | 014949 | NY |
N | 103G00000X | Clinical Psychologist | 980 | NH |
N | 103TC0700X | Clinical Psychologist | 980 | NH |
N | 103TC1900X | Counseling Psychologist | 014949 | NY |
N | 103TC1900X | Counseling Psychologist | 980 | NH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 980 | NH |
N | 103TF0000X | Family Psychologist | 014949 | NY |
N | 103TF0000X | Family Psychologist | 980 | NH |
N | 103TP2701X | Group Psychotherapist | 980 | NH |
NPI | 1255350344 |
---|---|
Provider Name | Shirley Anderson Kirby |
First Address | Concord, NH 03301-3761 |
Second Address | Concord, NH 03301-3761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
067001409NH01 | ANTHEM (01) | NH |
2113951 | CIGNA (01) | NH |
30423059 | (05) | NH |
30423059 | MAGELLAN (01) | NH |