Individual
JENNIFER MAYNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
160 HANOVER ST, CLAREMONT, NH 03743
(603) 543-4260
Mailing address
13 WINCH HILL RD, ADDRESS 2, LANGDON, NH 03602
(603) 313-6977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1436
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1436
ALLIED HEALTH
NH
Enumeration date
09/16/2020
Last updated
09/16/2020
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