Whalio Doctors

NPI 1174696413

Joel Nathan Glenn Wixson, PSYDCAS

Practitioner Clinical Psychologist Portsmouth, NH

Practice location

Address
539 Islington St 5, Portsmouth, NH 03801
Phone
(603) 427-6858
Fax
(603) 427-6555

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1056 (NH)

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.