Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 37377 | NH |
NPI | 1043831290 |
---|---|
Provider Name | Tamra Eastman |
First Address | Lancaster, NH 03584-4426 |
Second Address | Lancaster, NH 03584-4426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2020 |
Last Update Date | 29/04/2020 |