Individual
MARY SHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
28 SHAKER RD, NEW LONDON, NH 03257-5954
(603) 526-2940
(603) 526-2940
Mailing address
28 SHAKER RD, NEW LONDON, NH 03257-5954
(603) 526-2940
(603) 526-2940
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
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