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Individual

REBECCA ROUSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
180 LOCUST ST, DOVER, NH 03820-4033
(603) 742-1373
Mailing address
90 WASHINGTON ST, SUITE 215A-B, DOVER, NH 03820
(814) 327-4354
(603) 590-2938

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1350
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3103062
NH
Enumeration date
12/21/2015
Last updated
11/16/2017
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