Amy E Thacker, CCC-SLP
NPI #1780819086 in Keene, New Hampshire
Provider Information
- NPI Number
- 1780819086
- Entity Type
- Individual
- Name
- Amy E Thacker, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- CCC-SLP
- Enumeration Date
- May 16, 2009
- Last Updated
- Oct 4, 2012
Practice Location
- Address
- 91 MAPLE AVE
- City
- Keene
- State
- New Hampshire
- ZIP Code
- 03431-1629
- Phone
- (603) 358-3384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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