Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 972 | NH |
Y | 102L00000X | Psychologist | 972 | NH |
Y | 103T00000X | Psychologist | 972 | NH |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 972 | NH |
N | 103TS0200X | School Psychologist | 61047 | NH |
NPI | 1063688059 |
---|---|
Provider Name | Dr. Sandra-Leigh Sprecker |
First Address | Lempster, NH 03605-3417 |
Second Address | Lempster, NH 03605-3417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 30/04/2008 |