Victoria Blodgett, PHD
Individual provider Active NPI Psychologist · North Sandwich, NH
NPI 1659447464 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1659447464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 655 (NH)
- Practice address
- 53 Whiteface Road
North Sandwich, NH 03259-0012 - Phone
- (603) 284-6823
- Fax
- (603) 284-6405
- NPI assigned
- Nov 27, 2006
- 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655 | NH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 655 | NH | Yes |
Addresses
Primary practice location
53 Whiteface Road
North Sandwich, NH 03259-0012
Mailing address
PO Box 12
North Sandwich, NH 03259-0012
Phone (603) 284-6823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004803 | Medicaid | NH |
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.