Individual
MARK HIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 ROPE FERRY RD, DARTMOUTH COLLEGE HEALTH SERVICES, HANOVER, NH 03755-1404
(603) 646-9442
Mailing address
PO BOX 250, GRANTHAM, NH 03753-0250
(603) 763-4340
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1028
NH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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