| Moquin Psychological Services, Llc | |
|
753 Chestnut St Manchester NH 03104-3011 | |
| (603) 606-2452 | |
| Not Available |
| Full Name | Moquin Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 753 Chestnut St, Manchester, New Hampshire |
| Authorized Official Name and Position | Denise Moquin (PSYCHOLOGIST) |
| Authorized Official Contact | 6033154614 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moquin Psychological Services, Llc 753 Chestnut St Manchester NH 03104-3011 Ph: (603) 606-2452 | Moquin Psychological Services, Llc 753 Chestnut St Manchester NH 03104-3011 Ph: (603) 606-2452 |
| NPI Number | 1144761230 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Medicare PECOS PAC ID | 0244516631 |
|---|---|
| Medicare Enrollment ID | O20170420000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144761230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1230 (New Hampshire) | Primary |
| Provider Name | Denise J Moquin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316110687 PECOS PAC ID: 0547427734 Enrollment ID: I20131206000179 |
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