Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 42714 | NH |
NPI | 1073103982 |
---|---|
Provider Name | Mr. Jeffrey S Mcnish |
First Address | Epsom, NH 03234-4346 |
Second Address | Epsom, NH 03234-4346 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2021 |
Last Update Date | 25/01/2021 |