Anne L. Boedecker, PHD
Individual provider Active NPI Clinical Psychologist · Bow, NH
NPI 1376558288 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376558288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 248 (NH)
- Practice address
- 4 Clearview Dr
Bow, NH 03304-3612 - Phone
- (603) 226-2230
- Fax
- (603) 224-0278
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248 | NH | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialized Health Management Inc | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 248 | NH | Yes |
Addresses
Primary practice location
4 Clearview Dr
Bow, NH 03304-3612
Mailing address
4 Clearview Dr
Bow, NH 03304-3612
Phone (603) 226-2230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80008498 | Medicaid | NH |
Other providers in Bow, NH
- Alternative Pain Management, PLLC
- Alternative Programs and Treatment
- Babble and Beyond, LLC
- Jennifer Lynn Bellen
- Jenna Borbidge
- Michelle Boucher
- Bow Adult Counseling Services, P.L.L.C.
- Bow Family Dentistry, PLLC
- Bow Physical Therapy & Spine Center Limited Partnership
All providers in Bow, NH · Clinical Psychologist 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.