Organization
DR. KATE VAILLANCOURT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATE VAILLANCOURT PSYD (LICENSED PSYCHOLOGIST)
(978) 572-0703
Entity
Organization
Contact information
Practice address
2299 WOODBURY AVE, NEWINGTON, NH 03801-7854
(978) 572-0703
Mailing address
2299 WOODBURY AVE, NEWINGTON, NH 03801-7854
(978) 572-0703
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/04/2018
Last updated
11/03/2018
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