Individual
DR. MARK P. MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
85 MECHANIC ST, SUITE B4-1, LEBANON, NH 03766-1537
(603) 381-1160
(603) 448-3976
Mailing address
85 MECHANIC ST, SUITE B4-1, LEBANON, NH 03766-1537
(603) 381-1160
(603) 448-3976
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
932
NH
103TA0400X
Addiction (Substance Use Disorder) Psychologist
932
NH
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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