| NPI | 1568971646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LAVIN Clinical Psychologist 603-545-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1359) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2023-10-04 |