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Individual

CAROLINE MARIE HATALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
36 CLINTON ST, NEW HAMPSHIRE HOSPITAL, CONCORD, NH 03301-2359
(603) 271-5464
Mailing address
36 CLINTON ST, NEW HAMPSHIRE HOSPITAL, CONCORD, NH 03301-2359
(603) 271-5464

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
861
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30422966
NH
Enumeration date
02/27/2006
Last updated
07/10/2007
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