| Dr. Kate Vaillancourt, Pllc | |
|
2299 Woodbury Ave Newington NH 03801-7854 | |
| (978) 572-0703 | |
| Not Available |
| Full Name | Dr. Kate Vaillancourt, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2299 Woodbury Ave, Newington, New Hampshire |
| Authorized Official Name and Position | Kate Vaillancourt (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9785720703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Kate Vaillancourt, Pllc 2299 Woodbury Ave Newington NH 03801-7854 Ph: (978) 572-0703 | Dr. Kate Vaillancourt, Pllc 2299 Woodbury Ave Newington NH 03801-7854 Ph: (978) 572-0703 |
| NPI Number | 1477028660 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 11/03/2018 |
| Medicare PECOS PAC ID | 5395085930 |
|---|---|
| Medicare Enrollment ID | O20190319001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477028660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kate E Vaillancourt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134289788 PECOS PAC ID: 2567763741 Enrollment ID: I20151211001507 |
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