Individual
MRS. AIDA LOUISE KOOCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
32 MATTHEW DRIVE, SALEM, NH 03079
(603) 893-9329
Mailing address
32 MATTHEW DRIVE, SALEM, NH 03079
(603) 893-9329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99908841
—
NH
Enumeration date
01/22/2008
Last updated
01/22/2008
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