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NPI Code Detail

MEDICARE: DR. ROBERT C MCCOUL PSYD, LCMHC

MEDICARE: DR. ROBERT C MCCOUL PSYD, LCMHC
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
1101YM0800XMental Health Counselor205NH

General Provider Information

NPI Number : 1750594396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT C MCCOUL PSYD, LCMHC
Provider Business Mailing Address
First Line : 6 CHENELL DR STE 250
Second Line :
City : CONCORD
State : NH
Zip : 03301-8514
Country : US
Telephone Number : 603-513-1598
Fax Number : 603-513-1585
Provider Business Practice Location Address
First Line : 6 CHENELL DR STE 250
Second Line :
City : CONCORD
State : NH
Zip : 03301-8514
Country : US
Telephone Number : 603-513-1598
Fax Number : 603-513-1585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 06/24/2026

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