Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 2092 | NH |
N | 225XP0200X | Occupational Therapist - Pediatrics | 2092 | NH |
NPI | 1093878142 |
---|---|
Provider Name | Christina Lynn Heppding |
First Address | Loudon, NH 03307-0808 |
Second Address | Loudon, NH 03307-0808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/12/2006 |
Last Update Date | 15/04/2021 |