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Individual

EVAN C BICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1 MEDICAL CENTER DRIVE, 5D-PSYCHIATRY, LEBANON, NH 03756
(603) 653-6150
Mailing address
1 MEDICAL CENTER DRIVE, 5D-PSYCHIATRY, LEBANON, NH 03756-0001
(603) 653-6150

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1404
NH
103TC0700X
Clinical Psychologist
1404
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3113348
NH
Enumeration date
02/16/2017
Last updated
08/17/2018
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