Provider Demographics
NPI:1962984914
Name:TENGSTRAND, ZSOFIA K (MA/CAGS/PSYD)
Entity type:Individual
Prefix:DR
First Name:ZSOFIA
Middle Name:K
Last Name:TENGSTRAND
Suffix:
Gender:F
Credentials:MA/CAGS/PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 NATHANIEL WAY
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NH
Mailing Address - Zip Code:03032-3351
Mailing Address - Country:US
Mailing Address - Phone:603-483-0416
Mailing Address - Fax:
Practice Address - Street 1:48 CHARLOTTE AVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-1405
Practice Address - Country:US
Practice Address - Phone:603-966-1940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHSP-100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHSP-100OtherNEW HAMPSHIRE BOARD OF PSYCHOLOGISTS