Doctor Name: | MARY SHAIN |
NPI Number: | 1366653008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 0288 |
Business Practice Address: | 28 Shaker Rd New London, NH - 032575954 |
Business Phone Number: | 6035262940 |
Business Fax Number: | 6035262940 |
Mailing Address: | 28 Shaker Rd, NEW LONDON |
State: | NH |
Postal Code: | 032575954 |
Phone Number: | 6035262940 |
Fax Number: | 6035262940 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 06/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0288 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |