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Individual

WILLIAM J BALLANTYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
18 BAILEY AVE, CLAREMONT CHILD AND FAMILY CTR, CLAREMONT, NH 03743
(603) 542-5449
(603) 542-5455
Mailing address
9 HANOVER ST, SUITE 2 WEST CENTRAL SERVICES INC, LEBANON, NH 03766
(603) 448-0126
(603) 448-6001

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
739
NH

Other

Enumeration date
10/10/2006
Last updated
07/08/2007
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