Individual
JANE EDMISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SANDY POINT RD, STRATHAM, NH 03885-2121
(603) 778-8193
(603) 778-0388
Mailing address
10 SHANNON WAY, BRENTWOOD, NH 03833-6627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0383
LICENSE NUMBER
NH
Enumeration date
03/23/2017
Last updated
03/23/2017
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