| Organization Name: | PREMIER SPEECH THERAPY, LLC |
| NPI Number: | 1679719132 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA M. MINAHAN (OWNER/SPEECH PATHOLOGIST) |
| Mailing Address: | 45 Londonderry Turnpike Unit 5 Hooksett |
| State: | NH US |
| Postal Code: | 03038 |
| Phone Number: | 6035482188 |
| Fax Number: | 6036219875 |
| NPI Enumeration Date: | 01/05/2009 |
| NPI Last Update Date: | 11/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |