Individual
MEGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5585
(603) 431-6703
(603) 430-3753
Mailing address
1145 SAGAMORE AVE, PORTSMOUTH, NH 03801-5585
(603) 431-6703
(603) 430-3753
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
1309
NH
103TC0700X
Clinical Psychologist
1309
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096320
—
NH
Enumeration date
10/03/2011
Last updated
06/21/2024
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