Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 2748 | NH |
NPI | 1932701448 |
---|---|
Provider Name | Mrs. Lisa C Kardos |
First Address | Barrington, NH 03825-6201 |
Second Address | Barrington, NH 03825-6201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2020 |
Last Update Date | 10/11/2020 |