Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 54001 | NH |
NPI | 1083234355 |
---|---|
Provider Name | Mr. Kurt James Gergler |
First Address | Sunapee, NH 03782-2914 |
Second Address | Claremont, NH 03743-3186 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2020 |
Last Update Date | 16/04/2020 |