Individual
LISA GREEN-BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
635 MAIN ST, LACONIA, NH 03246-3415
(603) 524-1741
Mailing address
635 MAIN STREET, LACONIA, NH 03246
(603) 524-1741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0182
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0182
LICENSE NUMBER
NH
Enumeration date
11/22/2011
Last updated
11/22/2011
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