Hannah Lucarelli

Individual provider Active NPI Speech-Language Pathologist · Bristol, VT

NPI 1003381930 · NPPES record last updated Oct 8, 2018

Key facts

NPI
1003381930
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
144.0114724 (VT)
Practice address
25 Pleasant St
Bristol, VT 05443-1030
Phone
(802) 349-7003
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
144.0114724VTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 144.0114724 VT Yes

Addresses

Primary practice location

25 Pleasant St
Bristol, VT 05443-1030

Mailing address

25 Pleasant St
Bristol, VT 05443-1030
Phone (802) 349-7003

Other providers in Bristol, VT

All providers in Bristol, VT · Speech-Language Pathologist in Vermont

Sources for this page

Verify at the official NPI Registry.