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KEENE NEUROPSYCHOLOGY CLINIC PLLC

Clinical Neuropsychologist

Keene, New Hampshire

Provider NPI: 1780868422

Organization Information:
Organization Name:  KEENE NEUROPSYCHOLOGY CLINIC PLLC
Organization is not Subpart
Authorized Official:  FRANKLIN C BROWN  SOLE MEMBER, NEUROPSYCHOLOGIST  603-3578378

Practice Location:
103 ROXBURY ST SUITE 300 KEENE, NH 03431 US
Tel: 603-357-8378  Fax: 603-357-8375

Business Mailing Address:
103 ROXBURY ST SUITE 300 KEENE, NH 03431 US
Tel: 603-357-8378  Fax: 603-357-8375

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH1034

Other Provider Identifiers:

IssuerNumberStateType
1015110VT05
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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