Provider Demographics
NPI:1467570937
Name:WAYMENT, KAREN P (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:P
Last Name:WAYMENT
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7098
Mailing Address - Street 2:
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03247-7098
Mailing Address - Country:US
Mailing Address - Phone:603-528-8581
Mailing Address - Fax:603-528-2176
Practice Address - Street 1:25 COUNTRY CLUB RD
Practice Address - Street 2:SUITE 703
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6972
Practice Address - Country:US
Practice Address - Phone:603-528-8581
Practice Address - Fax:603-528-2176
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH535103TC0700X, 103TF0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30005946Medicaid
NH30005946Medicaid