Individual
KATHERINE S DESLOGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, NCSP
Contact information
Practice address
150 NEWFOUND RD, BRISTOL, NH 03222-3813
(603) 744-6006
Mailing address
150 NEWFOUND RD, BRISTOL, NH 03222-3813
(603) 744-6006
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
127244
NH
Other
Enumeration date
08/06/2012
Last updated
08/30/2021
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