Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | NH |
NPI | 1023441664 |
---|---|
Provider Name | Dr. Kimberly Lessard |
First Address | Manchester, NH 03104-2052 |
Second Address | Manchester, NH 03104-2052 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 06/04/2020 |