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Individual

DR. CHERYL BILDNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
81 WASHINGTON STREET, BOX 2726, CONWAY, NH 03818
(603) 447-2453
(603) 447-2450
Mailing address
RR 1 BOX 175, 84 ELLIS RIDGE ROAD, GLEN, NH 03838-7600
(603) 383-8228

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1055
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06Y007925NH01
BILLING ID NUMBER
NH
05
30423172
NH
Enumeration date
12/13/2006
Last updated
07/08/2007
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