NPI 1225659600
Wanderlust Therapeutic Services, PLLC
Practice location
- Address
- 400 Amherst St STE 200, Nashua, NH 03063-4223
- Phone
- (603) 889-3553
- Fax
- (603) 589-4981
Authorised official
- Name
- Melbourne Richard Moran
- Title
- Proprietor
- Phone
- (978) 483-0182
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1225659600
- Entity type
- Organization
- NPI issued
- 27 Apr 2020
- Record last updated
- 30 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.