| Woodard Hypnosis And Research, Inc. | |
|
15b Lincoln Street Milford NH 03055 | |
| (603) 673-2582 | |
| Not Available |
| Full Name | Woodard Hypnosis And Research, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 15b Lincoln Street, Milford, New Hampshire |
| Authorized Official Name and Position | Fredrick James Woodard (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6036732582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodard Hypnosis And Research, Inc. Po Box 874 Milford NH 03055-0874 Ph: (603) 673-2582 | Woodard Hypnosis And Research, Inc. 15b Lincoln Street Milford NH 03055 Ph: (603) 673-2582 |
| NPI Number | 1053321166 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 12/19/2013 |
| Medicare PECOS PAC ID | 4981635091 |
|---|---|
| Medicare Enrollment ID | O20050829000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053321166 | NPI | - | NPPES |
| 3073391 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1082 (New Hampshire) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1082 (New Hampshire) | Primary |
| Provider Name | Fredrick James Woodard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689762536 PECOS PAC ID: 7315978426 Enrollment ID: I20050829000754 |
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