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NPI Code Detail

MEDICARE: AMANDA POOLER M.A., LMFT

MEDICARE:   AMANDA  POOLER  M.A., LMFT
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
1106H00000XMarriage & Family Therapist160NH

General Provider Information

NPI Number : 1073771606
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA POOLER M.A., LMFT
Provider Business Mailing Address
First Line : 10 COMMERCE PARK N
Second Line : UNIT 1A
City : BEDFORD
State : NH
Zip : 03110-6905
Country : US
Telephone Number : 603-606-1233
Fax Number :
Provider Business Practice Location Address
First Line : 10 COMMERCE PARK N
Second Line : UNIT 1A
City : BEDFORD
State : NH
Zip : 03110-6905
Country : US
Telephone Number : 603-606-1233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2008
Last Update Date : 01/25/2013

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Directions to “ AMANDA POOLER M.A., LMFT” Practice Location

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