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Organization

AVERY PSYCHOLOGICAL SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNE CONVERSE AVERY EDD (PRESIDENT/OWNER)
(603) 868-8100
Entity
Organization

Contact information

Practice address
27 BAGDAD RD, DURHAM, NH 03824-2201
(603) 868-8100
(603) 868-1330
Mailing address
27 BAGDAD RD, DURHAM, NH 03824-2201
(603) 868-8100
(603) 868-1330

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
702
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30010879
MA
05
30424491
NH
Enumeration date
04/29/2014
Last updated
01/12/2015
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