Individual
HEATHER L NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
25 BLAKE RD, MOULTONBOROUGH, NH 03254-3800
(603) 476-4898
(603) 476-8009
Mailing address
PO BOX 419, MOULTONBOROUGH, NH 03254-0419
(603) 476-4898
(603) 476-8009
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
66380
NH
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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