| NPI | 1992873863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE M. CRIDER Manager Psychologist 603-762-2128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH PSY 956) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |