Provider Demographics
NPI:1003443813
Name:SASS, MEGAN (MS, CSP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:SASS
Suffix:
Gender:F
Credentials:MS, CSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8R MAIN ST
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-2908
Mailing Address - Country:US
Mailing Address - Phone:603-682-1837
Mailing Address - Fax:
Practice Address - Street 1:57 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:NH
Practice Address - Zip Code:03086-5156
Practice Address - Country:US
Practice Address - Phone:603-654-6123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH63804103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH63804OtherNH DEPARTMENT OF EDUCATION