Provider Demographics
NPI:1720968811
Name:SOROPMAN, PATRICIA (LICENSED METAL HEATH)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:SOROPMAN
Suffix:
Gender:F
Credentials:LICENSED METAL HEATH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 ADDISON ROAD
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045
Mailing Address - Country:US
Mailing Address - Phone:603-493-9667
Mailing Address - Fax:
Practice Address - Street 1:335 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801
Practice Address - Country:US
Practice Address - Phone:603-493-9667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1878101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health