Provider Demographics
NPI:1194750836
Name:NILER, ERIC R (PHD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:R
Last Name:NILER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 OLD DOVER RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3460
Mailing Address - Country:US
Mailing Address - Phone:603-335-2444
Mailing Address - Fax:603-335-2226
Practice Address - Street 1:660 CENTRAL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3491
Practice Address - Country:US
Practice Address - Phone:603-743-2223
Practice Address - Fax:603-749-3365
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH609103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0606533Y0NH01OtherANTHEM BCBS
NH30010618Medicaid
NH30010618Medicaid
R74548Medicare UPIN