Individual
MRS. LISA M MINAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
51 SHASTA DR, LONDONDERRY, NH 03053-3091
(603) 548-2188
(603) 434-9440
Mailing address
51 SHASTA DR, LONDONDERRY, NH 03053-3091
(603) 548-2188
(603) 434-9440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0905
NH
235Z00000X
Speech-Language Pathologist
5764
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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