Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dartmouth Medical School

Organization Geriatric Psychiatry Physician · NPI 1669737805

Dartmouth Medical School provides Geriatric Psychiatry Physician services in Hanover, New Hampshire. Licensed in New Hampshire. Registered with an NPI since 2012.

Licensed in
NH
In the registry since
2012

Practice location Address checks out

33 Rip Rd
Hanover, NH 03755-1616 Not confirmed with CMS for 14 years — call before visiting
Phone: (603) 643-2903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Psychiatry Physician (primary) Taxonomy 2084P0805X · Licence 4476 (NH)

Record details

NPI number1669737805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wiley Souba — Dean · (603) 650-1200
NPI enumeratedJuly 12, 2012
Last updated in NPPESJuly 12, 2012
Mailing address33 Rip Rd, Hanover, NH 03755-1616