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Individual

DR. WILLIAM J. JAMIESON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
61 NORTH ST, MANCHESTER, NH 03104-3029
(603) 669-4130
(603) 206-5438
Mailing address
61 NORTH ST, MANCHESTER, NH 03104-3029
(603) 669-4130
(603) 669-4130

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
256
NH
103TC0700X
Clinical Psychologist
256
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0602234Y0NH02
ANTHEM
NH
05
30422687
NH
Enumeration date
11/22/2005
Last updated
07/02/2012
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