Individual
SHANNON COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 NELSON ST, MANCHESTER, NH 03103-2706
(603) 232-5922
Mailing address
15 NELSON ST, MANCHESTER, NH 03103-2706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021
OFFICE OF ALLIED HEALTH PROFESSIONALS
NH
Enumeration date
11/10/2020
Last updated
10/30/2024
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