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EDWARD GEORGE MARTIN PHD

Clinical Neuropsychologist

Littleton, New Hampshire

Provider NPI: 1356472294

Provider Information:
 EDWARD GEORGE MARTIN PHD
Gender: M
Sole Proprietor


Practice Location:
29 MAPLE ST  LITTLETON, NH 03561 US
Tel: 603-444-5358  Fax: --

Business Mailing Address:
87 WASHINGTON ST  CONWAY, NH 03818 US
Tel: 603-447-3347  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH301
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
NH301

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM0602266Y0NH01NH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NH - Page 1



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