Organization
NEURODEVELOPMENTAL INSTITUTE OF NEW HAMPSHIRE, LLC
Active
Other names
Mont Blanc Academy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E MCLAUGHLIN-BELTZ PH.D. (OWNER/PRESIDENT)
(603) 621-9870
Entity
Organization
Contact information
Practice address
171 LONDONDERRY TURNPIKE, HOOKSETT, NH 03106
(603) 621-9870
(603) 621-9875
Mailing address
171 LONDONDERRY TURNPIKE, HOOKSETT, NH 03106
(603) 621-9870
(603) 621-9875
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
994
NH
103T00000X
Psychologist
994
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06Y008256NH01
ANTHEM
NH
01
—
11662811
CIGNA
NH
05
—
30422737
—
NH
Enumeration date
05/30/2007
Last updated
03/12/2021
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