Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0402X | Child Neurologist | 14605 | NH |
Y | 2084N0402X | Child Neurologist | 56126 | MA |
NPI | 1346238250 |
---|---|
Provider Name | Linda A Specht |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 27/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1007005 | (05) | VT |
200981 | HARVARD PILGRIM (01) | |
30006511 | (05) | NH |
3025574 | (05) | MA |
795334 | TUFTS (01) |