Individual
TRACEY MCLAUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 623-8863
Mailing address
89 HARVEST RD, CHICHESTER, NH 03258-6545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0619
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31669377
TRICARE
NH
01
—
6604286Y0NH01
ANTHEM
NH
Enumeration date
02/19/2007
Last updated
07/08/2007
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