Kristin Baldoumas
Individual provider Active NPI Art Therapist · Dover, NH
NPI 1285019307 · NPPES record last updated Jan 31, 2020
Key facts
- NPI
- 1285019307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Art Therapist 221700000X
- Practice address
- 750 Central Ave Ste U
Dover, NH 03820-3434 - Phone
- (603) 978-4808
- NPI assigned
- Jul 30, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Art Therapist | 221700000X | Yes |
Addresses
Primary practice location
750 Central Ave Ste U
Dover, NH 03820-3434
Mailing address
251 Knox Marsh Rd Unit 1
Dover, NH 03820-5448
Phone (603) 978-4808
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2020. 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.