Individual
KATE VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2299 WOODBURY AVE, NEWINGTON, NH 03801-7854
(978) 572-0703
Mailing address
2299 WOODBURY AVE, NEWINGTON, NH 03801-7854
(978) 572-0703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1344
NH
174400000X
Specialist
—
—
Other
Enumeration date
12/12/2006
Last updated
11/03/2018
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