Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 87382 | NH |
NPI | 1063177541 |
---|---|
Provider Name | Cindy Beth Gilks |
First Address | Salem, NH 03079-4249 |
Second Address | Derry, NH 03038-1515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2021 |
Last Update Date | 01/11/2021 |