Individual
LEA THEMEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1082 UNION ST, MANCHESTER, NH 03104-2332
(603) 867-4240
Mailing address
1082 UNION ST, MANCHESTER, NH 03104-2332
(603) 867-4240
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0757
NH
Other
Enumeration date
09/19/2011
Last updated
03/19/2019
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