Organization · Type 2 NPI

Dawn Wyman Licsw PLLC

Adolescent and Children Mental Health Clinic/Center · Bedford, NH

NPI number 1144757691 Active

Practice location

3 Executive Park Dr Ste 212
Bedford, NH 03110-6975

Fax (603) 232-3079

Mailing address

PO Box 4275
Manchester, NH 03108-4275

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

About NPI 1144757691

Dawn Wyman Licsw PLLC's National Provider Identifier is 1144757691, issued on May 15, 2017. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Bedford, NH. The record was last updated on May 15, 2017.