Hackett, Tia Madaffari

Hackett, Tia Madaffari is an individual health care provider with primary practice located at 1039 Islington Street Suite 13, Portsmouth NH 03801. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hackett, Tia Madaffari can be contacted via phone (603) 766-5066.

Contact Information

Primary practice address
1039 Islington Street Suite 13 Portsmouth NH 03801
Fax: (603) 766-5556
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 89 New Hampshire

Profile Details

NPI number 1003981366
LBN Legal business name Hackett, Tia Madaffari
Credentials MS, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated May 23rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003981366 NPPES
New Hampshire Other 7706655Y0NH01 BHN
New Hampshire MEDICAID 99003227 BHN

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