Individual
PETER KEITH ISQUITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
367 ROUTE 120 UNIT B1, HANOVER ROAD PROFESSIONAL CENTER, LEBANON, NH 03766
(603) 643-1999
(603) 643-4999
Mailing address
367 ROUTE 120 UNIT B1, HANOVER ROAD PROFESSIONAL CENTER, LEBANON, NH 03766
(603) 643-1999
(603) 643-4999
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
759
VT
103G00000X
Clinical Neuropsychologist
Primary
914
NH
103TC2200X
Clinical Child & Adolescent Psychologist
759
VT
103TC2200X
Clinical Child & Adolescent Psychologist
914
NH
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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