DR. WILLIAM J. JAMIESON PH.D.

Clinical Neuropsychologist

Manchester, New Hampshire

Provider NPI: 1730162843

Provider Information:
DR. WILLIAM J. JAMIESON PH.D.
Gender: M
Sole Proprietor


Practice Location:
61 NORTH ST  MANCHESTER, NH 03104 US
Tel: 603-669-4130  Fax: 603-206-5438

Business Mailing Address:
61 NORTH ST  MANCHESTER, NH 03104 US
Tel: 603-669-4130  Fax: 603-669-4130

Entity Type: Individual

Taxonomy:

Primary	Code	Category/Description	State	License Number
N	103TC0700X	Behavioral Health & Social Service Providers Psychologist Clinical	NH	256
Y	103G00000X	Behavioral Health & Social Service Providers Clinical Neuropsychologist	NH	256

Other Provider Identifiers:

Issuer	Number	State	Type
	30422687	NH	05
ANTHEM	0602234Y0NH02	NH	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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