# MAGNIFICENT KIDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346573730
- **Authorized official:** MRS. ELISHA MAGNIFICO MA/CCC-SLP (MANAGER/SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (603) 924-7722

## Contact information

- **Practice address:** 70 MAIN ST., SUITE 201, PETERBOROUGH, NH 03458-1238
- **Practice address phone:** (603) 924-7722
- **Mailing address:** PO BOX 71, PETERBOROUGH, NH 03458-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 1111 | NH | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 08/13/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 272746 | CIGNA | NH |
| 05 | — | 3072607 | — | NH |
| 01 | — | 561822 | AETNA | NH |
| 01 | — | 626514 | HARVARD PILGRIM | NH |
| 01 | — | 66Y011091NH01 | ANTHEM BCBS | NH |
| 01 | — | 761242 | TUFTS | NH |
| 05 | — | 99560056 | — | NH |