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NPI Code Detail

MEDICARE: MOIRA CHRISTINE DEBOIS

MEDICARE: MOIRA CHRISTINE DEBOIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist54633NH

General Provider Information

NPI Number : 1578177044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOIRA CHRISTINE DEBOIS
Provider Business Mailing Address
First Line : 2975 DARTMOUTH COLLEGE HWY STE 1
Second Line :
City : NORTH HAVERHILL
State : NH
Zip : 03774-4535
Country : US
Telephone Number : 603-787-2150
Fax Number :
Provider Business Practice Location Address
First Line : 2975 DARTMOUTH COLLEGE HWY STE 1
Second Line :
City : NORTH HAVERHILL
State : NH
Zip : 03774-4535
Country : US
Telephone Number : 603-787-2150
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2020
Last Update Date : 02/01/2021

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Directions to “ MOIRA CHRISTINE DEBOIS ” Practice Location

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