Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 129337 | NH |
NPI | 1053912279 |
---|---|
Provider Name | Andrew Schinnerer |
First Address | Peterborough, NH 03458-1109 |
Second Address | Greenfield, NH 03047-4301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2020 |
Last Update Date | 04/11/2020 |