NPI | 1053321166 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDRICK JAMES WOODARD Owner/Clinical Director 603-673-2582 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1082) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NH 1082) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2013-12-19 |