Doctor Name: | MR. SHADD LAGRANDEUR |
NPI Number: | 1013164870 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., CCC-SLP |
License Number: | 0869 |
Business Practice Address: | 80 Highland St Laconia, NH - 032463235 |
Business Phone Number: | 6035272888 |
Business Fax Number: | |
Mailing Address: | 77 Grant St, LACONIA |
State: | NH |
Postal Code: | 032463703 |
Phone Number: | 6035812671 |
Fax Number: | |
NPI Enumeration Date: | 08/25/2008 |
NPI Last Update Date: | 08/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0869 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |