Provider Demographics
NPI:1871049221
Name:TAPPER-MCKELVEY, EILEEN
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:TAPPER-MCKELVEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 COLBY ST
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03576-3047
Mailing Address - Country:US
Mailing Address - Phone:603-237-4955
Mailing Address - Fax:603-237-4882
Practice Address - Street 1:87 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6044
Practice Address - Country:US
Practice Address - Phone:603-447-3347
Practice Address - Fax:603-447-8893
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health