Healthcare Provider Details

I. General information

NPI: 1851467922
Provider Name (Legal Business Name): NANCY ALICE NOWELL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NANCY ALICE SHELDON PHD

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 WEST PARK ST SUITES 416 & 219
LEBANON NH
03766
US

IV. Provider business mailing address

9 HANOVER ST SUITE 2 WEST CENTRAL SERVICES INC
LEBANON NH
03766
US

V. Phone/Fax

Practice location:
  • Phone: 603-448-1101
  • Fax: 603-448-8249
Mailing address:
  • Phone: 603-448-0126
  • Fax: 603-448-6001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number862
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: