Individual
MS. ELAINE MARIE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
271 US ROUTE 4, ENFIELD, NH 03748-3014
(603) 632-4231
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-9090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1877
NH
235Z00000X
Speech-Language Pathologist
SP1383
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432409199
—
ME
Enumeration date
01/29/2007
Last updated
02/26/2021
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