Organization
LAURA THEOBALD SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA THEOBALD MS CCC-SLP (MEMBER/MANAGER)
(207) 590-9194
Entity
Organization
Contact information
Practice address
346 SAGAMORE RD, RYE, NH 03870-2035
(207) 590-9194
Mailing address
PO BOX 1042, RYE, NH 03870-1042
(207) 590-9194
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
0649
NH
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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