Whalio Doctors

NPI 1043535701

Craig Roger Thibaudeau, PSYD

Practitioner Clinical Psychologist Manchester, NH

Practice location

Address
311 Highlander Way, Manchester, NH 03103-7414
Phone
(603) 860-1447
Fax
(603) 622-7012

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1194 (NH)

Registry record

NPI
1043535701
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Apr 2010
Record last updated
6 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.