OrganizationActive
Dawn Wyman Licsw PLLC
NPI 1144757691 · Adolescent and Children Mental Health Clinic/Center · Bedford, NH
Provider details
- NPI number
- 1144757691
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lee Dieter, Billing Manager(603) 714-0870
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
3 Executive Park Dr Ste 212
Bedford, NH 03110-6975
Phone: (603) 440-4519
Fax: (603) 232-3079
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4275
Manchester, NH 03108-4275
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2017-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.