Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 1291 | NH |
Y | 103T00000X | Psychologist | 1291 | NH |
NPI | 1003071044 |
---|---|
Provider Name | Dr. Laura Katharine Sheridan |
First Address | Nashua, NH 03061-3677 |
Second Address | Nashua, NH 03060-2951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2008 |
Last Update Date | 08/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3091335 | (05) | NH |