Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 82992 | NH |
NPI | 1053082495 |
---|---|
Provider Name | Dr. Christina A Flanders |
First Address | Sanbornton, NH 03269-2715 |
Second Address | Laconia, NH 03246-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2021 |
Last Update Date | 24/09/2021 |