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Individual

DR. JOAN PATRICIA SCANLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
154 BROAD ST, STE 1512, NASHUA, NH 03063-3205
(603) 881-7753
(978) 339-5202
Mailing address
154 BROAD ST, STE 1512, NASHUA, NH 03063-3205
(603) 881-7753
(978) 339-5202

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2356
MA
103G00000X
Clinical Neuropsychologist
331
NH
103TC0700X
Clinical Psychologist
2356
MA
103TC0700X
Clinical Psychologist
Primary
331
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061009Y0NH01
BHN
NH
Enumeration date
08/15/2006
Last updated
10/28/2015
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