Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 84737 | NH |
NPI | 1073115986 |
---|---|
Provider Name | Jeri Williams |
First Address | Hollis, NH 03049-5961 |
Second Address | Hollis, NH 03049-5961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2020 |
Last Update Date | 15/11/2020 |