| Ktherapy And Brainspotting With Katherine | |
|
45 Lyme Rd Ste 310a Hanover NH 03755-1260 | |
| (833) 427-7528 | |
| Not Available |
| Full Name | Ktherapy And Brainspotting With Katherine |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 45 Lyme Rd Ste 310a, Hanover, New Hampshire |
| Authorized Official Name and Position | Katherine Allen Mcnally (OWNER) |
| Authorized Official Contact | 8334277528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ktherapy And Brainspotting With Katherine 45 Lyme Rd Ste 310a Hanover NH 03755-1260 Ph: (833) 427-7528 | Ktherapy And Brainspotting With Katherine 45 Lyme Rd Ste 310a Hanover NH 03755-1260 Ph: (833) 427-7528 |
| NPI Number | 1386400778 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 06/21/2024 |
| Certification Date | 06/05/2024 |
| Medicare PECOS PAC ID | 8921540154 |
|---|---|
| Medicare Enrollment ID | O20240604000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386400778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Katherine Allen Mcnally |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790984102 PECOS PAC ID: 7113460841 Enrollment ID: I20240621002410 |
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