Individual
DR. MATTHEW D KASNETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
87 STILES RD, SUITE 106, SALEM, NH 03079-2899
(603) 893-7700
(603) 893-7331
Mailing address
87 STILES RD, SUITE 106, SALEM, NH 03079-2899
(603) 893-7700
(603) 893-7331
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
461
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004547
TUFTS
—
05
—
0518956
—
MA
01
—
1036669
CIGNA BEHAVIORAL HEALTH
—
05
—
8000 0601
—
NH
01
—
MAGELLAN BEHAVIORAL
83815000
—
Enumeration date
02/16/2007
Last updated
07/09/2007
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