Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 895 | NH |
NPI | 1063510527 |
---|---|
Provider Name | Joanne G. Linden |
First Address | Concord, NH 03301-4000 |
Second Address | Concord, NH 03301-4000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 22/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
895 | LISCENSE # (01) | NH |