Individual
PATRICIA ANN FENNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
13 ORCHARD VIEW DR, SUITE 5, LONDONDERRY, NH 03053-3457
(603) 421-0059
Mailing address
13 ORCHARD VIEW DR, SUITE 5, LONDONDERRY, NH 03053-3457
(603) 421-0059
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
459
NH
Other
Enumeration date
09/23/2006
Last updated
07/08/2007
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