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DR. LAWRENCE GRANT JASPER PH.D.

Behavioral Health & Social Service Providers Clinical Neuropsychologist

Provider NPI: 1902964927

Provider Information:
DR. LAWRENCE GRANT JASPER PH.D.
Gender: M
Sole Proprietor

Practice Location:
423 S MAIN ST  LACONIA, NH 03246-3782 US
Tel: 603-524-0165  Fax: 603-737-1004

Business Mailing Address:
155 JENNISON RD  MILFORD, NH 03055-4211 US
Tel: 603-455-8590  Fax: 603-737-1004

NPI Information:
NPI: 1902964927
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NH171
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
NH171
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
NH171
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
NH171
X103TM1800XBehavioral Health & Social Service Providers
Psychologist
X103TM1800XBehavioral Health & Social Service Providers
Psychologist
NH171
X103TP2701XBehavioral Health & Social Service Providers
Psychologist
NH171
X103TR0400XBehavioral Health & Social Service Providers
Psychologist
NH171

Other Provider Identifiers:

IssuerNumberStateType




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