Geoghegan, Emily Bernice

Geoghegan, Emily Bernice is an individual health care provider with primary practice located at 2013 Elm St , Manchester NH 03104-2528. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Geoghegan, Emily Bernice can be contacted via phone (603) 627-2702.

Contact Information

Primary practice address
2013 Elm St Manchester NH 03104-2528
Phone: (603) 627-2702
Fax: (603) 627-3643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 992 New Hampshire

Profile Details

NPI number 1477636546
LBN Legal business name Geoghegan, Emily Bernice
Credentials M.DIV., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477636546 NPPES
New Hampshire MEDICAID 30010179

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