| Keene Neuropsychology Clinic Pllc | |
|
103 Roxbury St Suite 300 Keene NH 03431-8801 | |
| (603) 357-8378 | |
| (603) 357-8375 |
| Full Name | Keene Neuropsychology Clinic Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 103 Roxbury St, Keene, New Hampshire |
| Authorized Official Name and Position | Franklin C Brown (SOLE MEMBER, NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 6033578378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keene Neuropsychology Clinic Pllc 103 Roxbury St Suite 300 Keene NH 03431-8801 Ph: (603) 357-8378 | Keene Neuropsychology Clinic Pllc 103 Roxbury St Suite 300 Keene NH 03431-8801 Ph: (603) 357-8378 |
| NPI Number | 1780868422 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 11/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780868422 | NPI | - | NPPES |
| 1015110 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1034 (New Hampshire) | Primary |
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