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Individual

KATELYN VAN DOORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
10 MEMBERS WAY STE 300, DOVER, NH 03820-5933
(603) 749-0913
Mailing address
PO BOX 412503, BOSTON, MA 02241-2620
(617) 726-3884

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
1630
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3139079
NH
Enumeration date
06/29/2016
Last updated
05/13/2025
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