Provider Demographics
NPI:1992911168
Name:NEW ENGLAND CENTER FOR COMPREHENSIVE COUNSELING SERVICES
Entity type:Organization
Organization Name:NEW ENGLAND CENTER FOR COMPREHENSIVE COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:DEMMIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-886-5565
Mailing Address - Street 1:65 TECHNOLOGY WAY
Mailing Address - Street 2:SUITE 3W7
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3245
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:65 TECHNOLOGY WAY
Practice Address - Street 2:SUITE 3W7
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3245
Practice Address - Country:US
Practice Address - Phone:603-886-5565
Practice Address - Fax:603-886-8642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH580103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty