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General NPI Number Information
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NPI Number | 1457923682
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Entity Type | Organization
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Legal Business Name | POLARIS PSYCHOLOGY PLLC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 52 NASHUA ST STE 19
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City | MILFORD
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State | NH
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Zip | 03055-3717
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Country | US
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Telephone | 603-688-6726
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Fax |
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Provider Business Mailing Address
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Address Line | 52 NASHUA ST STE 19
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City | MILFORD
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State | NH
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Zip | 03055-3717
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Country | US
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Telephone | 603-637-0050
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. AMANDA MEAD
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Credential | PSY.D.
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Telephone | 800-240-5716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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