Individual
DR. PAUL BRYAN SHAGOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
36 CLINTON ST, D UNIT, CONCORD, NH 03301-2359
(603) 271-5487
Mailing address
4 SHARON DR, BOW, NH 03304-4324
(603) 228-8232
(603) 668-8666
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
150
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99007747
—
NH
Enumeration date
04/03/2006
Last updated
01/29/2009
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