| NPI | 1023604147 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIELLE ST. AMAND Speech Language Pathologist 603-440-8312  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2020-12-13 | 
| Last Update Date | 2020-12-13 |