Organization
GODDARD PSYCHOLOGICAL SERVICES NO 2
Active
Organization
GODDARD PSYCHOLOGICAL SERVICES NO 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GODDARD PH.D. (LICENSED PSYCHOLOGIST)
(603) 629-9851
Entity
Organization
Contact information
Practice address
66 PROSPECT ST, MANCHESTER, NH 03104-3506
(603) 629-9851
(603) 472-5781
Mailing address
PO BOX 10575, BEDFORD, NH 03110-0575
(603) 629-9851
(603) 472-5781
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
334
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083226
—
NH
Enumeration date
08/27/2016
Last updated
08/27/2016
Update your record
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