Individual
PETER KEITH ISQUITH
Active
Individual
PETER KEITH ISQUITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
759
VT
103G00000X
Clinical Neuropsychologist
Primary
914
NH
103TC2200X
Clinical Child & Adolescent Psychologist
759
VT
103TC2200X
Clinical Child & Adolescent Psychologist
914
NH
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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