Individual
LARA JEAN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
7 GREENLEAF WOODS DR, PORTSMOUTH, NH 03801-5444
(603) 205-5792
Mailing address
10 HIDDEN VALLEY DR, DOVER, NH 03820-5216
(603) 205-5792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0663
NH
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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