| Linda A Guttman | |
|
17 Main St Durham NH 03824-2501 | |
| (603) 969-7680 | |
| (603) 969-7680 |
| Full Name | Linda A Guttman |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Main St, Durham, New Hampshire |
| Authorized Official Name and Position | Linda A Guttman (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6039697680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda A Guttman 21 Woodridge Rd Durham NH 03824-2917 Ph: (603) 969-7680 | Linda A Guttman 17 Main St Durham NH 03824-2501 Ph: (603) 969-7680 |
| NPI Number | 1629581137 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 11/27/2022 |
| Certification Date | 11/27/2022 |
| Medicare PECOS PAC ID | 5496013351 |
|---|---|
| Medicare Enrollment ID | O20171222000853 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629581137 | NPI | - | NPPES |
| 13673938 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 537 (New Hampshire) | Primary |
| Provider Name | Linda A Guttman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417078825 PECOS PAC ID: 3476840372 Enrollment ID: I20160920002729 |
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