Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 63804 | NH |
NPI | 1003443813 |
---|---|
Provider Name | Megan Sass |
First Address | Amherst, NH 03031-2908 |
Second Address | Wilton, NH 03086-5156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2020 |
Last Update Date | 24/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
63804 | NH DEPARTMENT OF EDUCATION (01) | NH |