Provider Demographics
NPI:1588351944
Name:GYAWALI, MANOHAR
Entity type:Individual
Prefix:
First Name:MANOHAR
Middle Name:
Last Name:GYAWALI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 SANDYS WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-8300
Mailing Address - Country:US
Mailing Address - Phone:603-315-2002
Mailing Address - Fax:
Practice Address - Street 1:24 SANDYS WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-8300
Practice Address - Country:US
Practice Address - Phone:603-315-2002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool