| NPI | 1619476868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ELLICOTT Owner 603-553-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0768) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |