Individual
EVAN R GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 MAIN ST, NASHUA, NH 03064-2716
(603) 883-0005
(603) 883-0007
Mailing address
1 MAIN ST, NASHUA, NH 03064-2716
(603) 883-0005
(603) 883-0007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
477
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001218
—
NH
Enumeration date
06/09/2006
Last updated
10/28/2015
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