| NPI | 1396131355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOREEN LABATT Billing Specialist 603-880-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-06-19 |