| Lifestages Family Neurohealth Llc | |
|
40 S River Rd Unit 33 Bedford NH 03110-6721 | |
| (603) 614-6016 | |
| Not Available |
| Full Name | Lifestages Family Neurohealth Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 40 S River Rd Unit 33, Bedford, New Hampshire |
| Authorized Official Name and Position | Jamie L Timmins (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6032339801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestages Family Neurohealth Llc 40 S River Rd Unit 33 Bedford NH 03110-6721 Ph: (603) 614-6016 | Lifestages Family Neurohealth Llc 40 S River Rd Unit 33 Bedford NH 03110-6721 Ph: (603) 614-6016 |
| NPI Number | 1447885777 |
|---|---|
| Provider Enumeration Date | 03/06/2020 |
| Last Update Date | 03/06/2020 |
| Certification Date | 03/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447885777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
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