Individual
ROBERT WALRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
816 MAPLE ST, MANCHESTER, NH 03104-3215
(603) 566-8831
Mailing address
816 MAPLE ST, MANCHESTER, NH 03104-3215
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
370
NH
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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