| NPI | 1801112917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LEE GALLANT Licensed Psychologist 603-856-8163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 1149) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 750) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-09-05 |