| NPI | 1255571659 |
|---|---|
| Former Name | ELIZABETH ANN MCCOAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME sp 1322) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3632) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2023-09-28 |