Individual
CRAIG L DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03756-0001
(603) 650-6150
Mailing address
1 MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - PSYCHIATRY, LEBANON, NH 03756-0001
(603) 650-6150
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
9509
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0RE3796
MEDICAID
VT
05
—
T400319124
—
NH
Enumeration date
12/04/2006
Last updated
04/20/2017
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