Individual
MICHAEL SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 FLETCHER CIR, HANOVER, NH 03755-1203
(657) 229-0484
Mailing address
11 FLETCHER CIR, HANOVER, NH 03755-1203
(657) 229-0484
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1662
NH
103TB0200X
Cognitive & Behavioral Psychologist
1662
NH
103TC1900X
Counseling Psychologist
1662
—
103TP2701X
Group Psychotherapy Psychologist
1662
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2015
Last updated
07/17/2023
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