Individual
DR. HEATHER ANN WISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-7232
(603) 640-1228
Mailing address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
843
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1006342
MEDICAID
VT
05
—
30011685
—
NH
Enumeration date
12/01/2006
Last updated
01/13/2026
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