Individual
DR. CRAIG ROGER THIBAUDEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
311 HIGHLANDER WAY, MANCHESTER, NH 03103-7414
(603) 860-1447
(603) 622-7012
Mailing address
311 HIGHLANDER WAY, MANCHESTER, NH 03103-7414
(603) 860-1447
(603) 622-7012
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1194
NH
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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