Organization
MOUNT WASHINGTON VALLEY PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALLEN GUSTAFSON PH.D. (PARTNER)
(603) 447-2453
Entity
Organization
Contact information
Practice address
81 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-2453
(603) 447-2450
Mailing address
81 WASHINGTON ST, PO BOX 2726, CONWAY, NH 03818-6044
(603) 447-2453
(603) 447-2450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/18/2007
Last updated
11/29/2007
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