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Organization

SPACE TO BREATHE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KELLY MCCANN PH.D. (PSYCHOLOGIST)
(603) 631-4528
Entity
Organization

Contact information

Practice address
105 WEST MAIN STREET, SUITE 3, LITTLETON, NH 03561
(603) 631-4528
(888) 822-8323
Mailing address
105 WEST MAIN STREET, SUITE 3, LITTLETON, NH 03561
(603) 631-4528
(888) 822-8323

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1251
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023091
VT
05
3071687
NH
Enumeration date
09/30/2015
Last updated
12/11/2017
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