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Contact Information

MARK P MCGOVERN, PhD
85 MECHANIC ST
SUITE B4-1
LEBANON, NH03766-1537
 Phone: 603-381-1160
 Fax: 603-448-3976
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK P MCGOVERN · (Male)

NPI # 1164805891
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/30/2015
Last updated 06/30/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 932
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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