Taylor Hodge, MS, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Stratham, NH

NPI 1013299387 · NPPES record last updated Mar 4, 2024

Key facts

NPI
1013299387
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1191 (NH)
Practice address
118 Portsmouth Ave
Stratham, NH 03885-2487
Phone
(207) 370-1744
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1191NHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1191 NH Yes

Addresses

Primary practice location

118 Portsmouth Ave
Stratham, NH 03885-2487

Mailing address

15 Iron Horse Dr Unit D116
Bedford, NH 03110-6874

Other providers in Stratham, NH

All providers in Stratham, NH · Speech-Language Pathologist in New Hampshire

Sources for this page

Verify at the official NPI Registry.