| NPI | 1528546447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN D FITZGERALD Clinical Psychologist 603-224-5140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 0133) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |