Individual
MEAGAN ETCHELLS LENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 645-5977
Mailing address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 645-5977
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1294
NH
103G00000X
Clinical Neuropsychologist
4343
AZ
Other
Enumeration date
08/12/2009
Last updated
10/02/2013
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