Individual
DR. EMILY BERNICE GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.DIV., PH.D.
Contact information
Practice address
2013 ELM ST, MANCHESTER, NH 03104-2528
(603) 627-2702
(603) 627-3643
Mailing address
110 SOUTH ST, CONCORD, NH 03301-2834
(603) 627-2702
(603) 627-3643
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
992
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30010179
—
NH
Enumeration date
10/23/2006
Last updated
07/09/2007
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