| Mount Washington Valley Psychological Services, Llc | |
|
81 Washington St Conway NH 03818-6044 | |
| (603) 447-2453 | |
| (603) 447-2450 |
| Full Name | Mount Washington Valley Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 81 Washington St, Conway, New Hampshire |
| Authorized Official Name and Position | Scott Allen Gustafson (PARTNER) |
| Authorized Official Contact | 6034472453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Washington Valley Psychological Services, Llc 81 Washington St Po Box 2726 Conway NH 03818-6044 Ph: (603) 447-2453 | Mount Washington Valley Psychological Services, Llc 81 Washington St Conway NH 03818-6044 Ph: (603) 447-2453 |
| NPI Number | 1861600405 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 11/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861600405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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