Susanne S Haseman, LCMHC
Individual provider Active NPI Mental Health Counselor · Cornish, NH
NPI 1124235601 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124235601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 672 (NH)
- Practice address
- 300 Paget Rd
Cornish, NH 03745-4302 - Phone
- (603) 675-2678
- Fax
- (603) 675-9176
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068-0000680 | VT | MD | Mental Health Counselor |
| 672 | NH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 672 | NH | Yes |
| Mental Health Counselor | 101YM0800X | 068-0000680 | VT |
Addresses
Primary practice location
300 Paget Rd
Cornish, NH 03745-4302
Mailing address
300 Paget Rd
Cornish, NH 03745-4302
Phone (603) 675-2678
Other providers in Cornish, NH
- Camille Vandyck Ames
- Paula Jean Bergeron
- Karen Delaney Davis
- Joseph P Depalo
- Sarah Elizabeth Lenoir
- Rachel Morin
- Marina Weidner
All providers in Cornish, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.