| Doctor Name: | MRS. LISA M MINAHAN |
| NPI Number: | 1750491718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 5764 |
| Business Practice Address: | 51 Shasta Dr Londonderry, NH - 030533091 |
| Business Phone Number: | 6035482188 |
| Business Fax Number: | 6034349440 |
| Mailing Address: | 51 Shasta Dr, LONDONDERRY |
| State: | NH |
| Postal Code: | 030533091 |
| Phone Number: | 6035482188 |
| Fax Number: | 6034349440 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5764 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| 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 |