Organization Name: | MAGNIFICENT KIDS LLC |
NPI Number: | 1346573730 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELISHA MAGNIFICO (MANAGER/SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 70 Main St. Suite 201 Peterborough |
State: | NH US |
Postal Code: | 034581238 |
Phone Number: | 6039247722 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2009 |
NPI Last Update Date: | 08/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1111 |
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 |