Provider Demographics
NPI:1124769872
Name:STOUGHTON, MELISSA MAI
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MAI
Last Name:STOUGHTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 NATICOOK RD
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4601
Mailing Address - Country:US
Mailing Address - Phone:661-754-0914
Mailing Address - Fax:
Practice Address - Street 1:30 TEMPLE ST STE 105
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2401
Practice Address - Country:US
Practice Address - Phone:603-880-9880
Practice Address - Fax:603-402-9727
Is Sole Proprietor?:No
Enumeration Date:2022-04-06
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker