| Goddard Psychological Services No 2 | |
|
66 Prospect St Manchester NH 03104-3506 | |
| (603) 629-9851 | |
| (603) 472-5781 |
| Full Name | Goddard Psychological Services No 2 |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 66 Prospect St, Manchester, New Hampshire |
| Authorized Official Name and Position | Robert Goddard (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6036299851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goddard Psychological Services No 2 Po Box 10575 Bedford NH 03110-0575 Ph: (603) 629-9851 | Goddard Psychological Services No 2 66 Prospect St Manchester NH 03104-3506 Ph: (603) 629-9851 |
| NPI Number | 1407302813 |
|---|---|
| Provider Enumeration Date | 08/27/2016 |
| Last Update Date | 08/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407302813 | NPI | - | NPPES |
| 3083226 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 334 (New Hampshire) | Primary |
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