Individual
ROSS L GOURVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
40 S RIVER RD UNIT 33, BEDFORD, NH 03110-6721
(603) 614-6016
Mailing address
40 S RIVER RD UNIT 33, BEDFORD, NH 03110-6721
(603) 614-6016
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1298
NH
103G00000X
Clinical Neuropsychologist
68 018046
NY
103TC0700X
Clinical Psychologist
1298
NH
103TC0700X
Clinical Psychologist
68 018046
NY
Other
Enumeration date
03/01/2007
Last updated
03/06/2020
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