Individual
DR. MICHAEL ROSS KANDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
11 ORCHARD DRIVE, DURHAM, NH 03824-0709
(603) 868-5700
(603) 868-5700
Mailing address
11 ORCHARD DRIVE, P.O. BOX 709, DURHAM, NH 03824-0709
(603) 868-5700
(603) 868-5700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
653
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002496
—
NH
Enumeration date
07/25/2006
Last updated
07/08/2007
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