MR. PAUL EDWARD SPACK MASTERS DEGREE NPI 1730246224

NPI Information

NPI: 1730246224
Provider Name: MR. PAUL EDWARD SPACK, MASTERS DEGREE
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
102 DURHAM RD
DOVER, NH
ZIP 03820
Phone: (603) 742-3222
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MR. Paul Edward Spack, MASTERS DEGREE is an addiction (substance use disorder) counselor in Dover, NH. MR. Paul Edward Spack, MASTERS DEGREE NPI is 1730246224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

102 DURHAM RD
DOVER, NH
ZIP 03820
Phone: (603) 742-3222
Fax: (603) 742-1799

The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0022	NEW HAMPSHIRE	Yes
2	101YM0800X	Counselor	Mental Health	49	NEW HAMPSHIRE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30421295	MEDICAID	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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