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Individual

JANICE QUINTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 WARREN ST, PLYMOUTH, NH 03264
(603) 536-4787
Mailing address
1 WARREN ST, PLYMOUTH, NH 03264
(603) 536-4787

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
277
NH
103TC0700X
Clinical Psychologist
784
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
99908917
NH
Enumeration date
01/22/2007
Last updated
07/08/2007
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