ELLIOT PROFESSIONAL SERVICES NPI 1528377876

NPI Information

  • NPI: 1528377876
  • Provider Name: ELLIOT PROFESSIONAL SERVICES
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Doing Business As: ELLIOT PEDIATRIC NEUROLOGY
  • Address: 275 MAMMOTH RD STE 1
    ELLIOT PEDIATRIC NEUROLOGY
    MANCHESTER, NH
    ZIP 03109
  • Phone: (603) 663-3222

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NPI Details

ELLIOT PROFESSIONAL SERVICES is a neurology with special qualifications in child neurology psychiatry neurology in Manchester, NH. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. ELLIOT PROFESSIONAL SERVICES NPI is 1528377876. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elliot Pediatric Neurology.

The provider's business location address is:

275 MAMMOTH RD STE 1
ELLIOT PEDIATRIC NEUROLOGY
MANCHESTER, NH
ZIP 03109-133
Phone: (603) 663-3222
Fax: (603) 663-3229

The provider's authorized official is Richard P Herman .
The authorized official title is Director Of Operations & Finance and has the following contact phone number (603) 663-4904.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 5/11/2011.

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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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