Wishart, Heather Ann

Wishart, Heather Ann is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wishart, Heather Ann can be contacted via phone (603) 650-7232.

Contact Information

Primary practice address
1 Medical Center Drive Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax: (603) 650-9478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 843 New Hampshire

Profile Details

NPI number 1104994680
LBN Legal business name Wishart, Heather Ann
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104994680 NPPES
Vermont Other 1006342 MEDICAID
Vermont MEDICAID 30011685 MEDICAID

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