NPI 1174696413
Joel Nathan Glenn Wixson, PSYDCAS
Practice location
- Address
- 539 Islington St 5, Portsmouth, NH 03801
- Phone
- (603) 427-6858
- Fax
- (603) 427-6555
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1174696413
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Nov 2006
- Record last updated
- 8 Jul 2007
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.