Individual
LAUREN QUINT THERRIAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
858 HALL RD, BRISTOL, NH 03222-3445
(603) 562-9933
Mailing address
858 HALL RD, BRISTOL, NH 03222-3445
(603) 562-9933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1362
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090962
—
NH
Enumeration date
03/12/2021
Last updated
03/12/2021
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