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NEURODEVELOPMENTAL INSTITUTE OF NEW HAMPSHIRE, LLC

Clinical Neuropsychologist

Manchester, New Hampshire

Provider NPI: 1902007677

Organization Information:
Organization Name:  NEURODEVELOPMENTAL INSTITUTE OF NEW HAMPSHIRE, LLC
Organization is not Subpart
Authorized Official:  SUSAN E MCLAUGHLIN-BELTZ  PRESIDENT/NEUROPSYCHOLOGIST  603-6219870

Practice Location:
77 PEARL ST  MANCHESTER, NH 03101 US
Tel: 603-621-9870  Fax: 603-621-9875

Business Mailing Address:
77 PEARL ST  MANCHESTER, NH 03101 US
Tel: 603-621-9870  Fax: 603-621-9875

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103T00000XBehavioral Health & Social Service Providers
Psychologist
NH994
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH994

Other Provider Identifiers:

IssuerNumberStateType
ANTHEM06Y008256NH01NH01
CIGNA11662811NH01
30422737NH05
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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