Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 830 | NH |
N | 103TF0000X | Family Psychologist | 830 | NH |
N | 103TS0200X | School Psychologist | 830 | NH |
NPI | 1083991491 |
---|---|
Provider Name | Dr. William Slammon |
First Address | Westmoreland, NH 03467-4518 |
Second Address | Westmoreland, NH 03467-4518 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2011 |
Last Update Date | 14/11/2011 |