Organization
WOODARD HYPNOSIS AND RESEARCH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDRICK JAMES WOODARD PHD (OWNER/CLINICAL DIRECTOR)
(603) 673-2582
Entity
Organization
Contact information
Practice address
15B LINCOLN STREET, MILFORD, NH 03055
(603) 673-2582
Mailing address
PO BOX 874, MILFORD, NH 03055-0874
(603) 673-2582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1082
NH
103TC0700X
Clinical Psychologist
Primary
1082
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073391
—
NH
Enumeration date
08/09/2006
Last updated
12/19/2013
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