Individual
MARY SHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
0288
NH
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
30761482
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30400646
—
NH
05
—
30761482
—
NH
Enumeration date
05/24/2007
Last updated
06/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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