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Dawn Wyman Licsw Pllc
Adolescent and Children Mental Health Clinic/Center in Bedford, New Hampshire
NPI 1144757691

Dawn Wyman Licsw Pllc is an Adolescent and Children Mental Health Clinic/Center based in Manchester, NH and is specialized in Adolescent and Children Mental Health. Dawn Wyman Licsw Pllc practices in Bedford, NH. The NPI Number for Dawn Wyman Licsw Pllc is 1144757691 and holds a License No. (New Hampshire).

The current practice location address for Dawn Wyman Licsw Pllc is 3 Executive Park Dr Ste 212, Bedford, NH and can be reached out via phone at 603-440-4519 and via fax at 603-232-3079.

Location: 3 Executive Park Dr Ste 212, Bedford, NH, 03108-4275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144757691
Provider Name
Dawn Wyman Licsw Pllc
Credential
Provider Entity Type
Organization
Address
3 Executive Park Dr Ste 212, Bedford, NH, 03108-4275
Phone Number
603-440-4519
Fax Number
603-232-3079
Provider Enumeration Date
05/15/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3 Executive Park Dr Ste 212
City
Bedford
State
New Hampshire
Zip
03110-6975
Phone Number
603-440-4519
Fax Number
603-232-3079
person
Provider Business Mailing Address Details
Address
3 Executive Park Dr Ste 212
City
Bedford
State
New Hampshire
Zip
03110-6975
Phone Number
603-440-4519
Fax Number
603-232-3079
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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