Provider Demographics
NPI:1144430752
Name:MCCUTCHEN, MARISA (MA)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:MCCUTCHEN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 261
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-0261
Mailing Address - Country:US
Mailing Address - Phone:603-534-2558
Mailing Address - Fax:
Practice Address - Street 1:221 OLD CONCORD TPKE UNIT A
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-5211
Practice Address - Country:US
Practice Address - Phone:603-901-3101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC7427101YM0800X
NH770101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health