Individual
JULIE SHANNON MAISLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
21 ACADEMY ST, EPPING, NH 03042-2911
(603) 316-8001
Mailing address
10 WIGGIN WAY, STRATHAM, NH 03885-2486
(603) 316-8001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14194701
NH
235Z00000X
Speech-Language Pathologist
P-0752
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14194701
ASHA
—
01
—
P-0752
NH BOARD OF ALLIED HEALTH
NH
Enumeration date
11/20/2018
Last updated
06/07/2021
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