Individual
TIMOTHY C. BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
76 NORTHEASTERN BLVD STE 36A, NASHUA, NH 03062-3196
(603) 881-7554
(603) 881-7533
Mailing address
WILLOWDALE COUNSELING CENTER, 76 NORTHEASTERN BOULEVARD, UNIT 36A, NASHUA, NH 03062-3196
(603) 881-7554
(603) 881-7533
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
7920
MA
103TC0700X
Clinical Psychologist
Primary
941
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06Y000951NH01
BEHAVIORAL HEALTH NETWORK
NH
05
—
30421223
—
NH
Enumeration date
06/17/2006
Last updated
09/21/2021
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