Individual
HEATHER SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
193 HANOVER ST, LEBANON, NH 03766-1090
(603) 448-2945
Mailing address
3 RIVERDALE PKWY, LEBANON, NH 03766-1300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1087
NH
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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