Dawn Wyman Licsw Pllc
NPI #1144757691 in Bedford, New Hampshire
Provider Information
- NPI Number
- 1144757691
- Entity Type
- Organization
- Organization Name
- Dawn Wyman Licsw Pllc
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- May 15, 2017
- Last Updated
- May 15, 2017
Practice Location
- Address
- 3 EXECUTIVE PARK DR STE 212
- City
- Bedford
- State
- New Hampshire
- ZIP Code
- 03110-6975
- Phone
- (603) 440-4519
Authorized Official
- Name
- LEE DIETER
- Title
- BILLING MANAGER
- Phone
- (603) 714-0870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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