Brooke Wilson, MA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1944 Issued in NH

Practice address

22 Milford St
Brookline, NH 03033-2446

Phone

(603) 673-4640

NPI assigned

Feb 27, 2015

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brooke Talcott Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrated Children's Therapies, Inc.

  • Speech-Language Pathologist
  • Hudson, MA
  • NPI 1245472554
  NPD (past)
• Integrated Childrens Therapies

  • Multi-Specialty Clinic/Center
  • Hudson, MA
  • NPI 1518127331
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1013309012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POPE RD",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030332510",
            "telephone_number": "978-875-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MILFORD ST",
            "city": "BROOKLINE",
            "state": "NH",
            "postal_code": "030332446",
            "telephone_number": "603-673-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BROOKE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "76780",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "TALCOTT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Stephen Price, CCC-SLP
• Sandra Stronkowski, RN
• Elizabeth Daulton Sulin, MSW
• Raquel Tomic-Beard
• Bethany Danielle Walker, PSY.D

• Speech-Language Pathologist in Brookline, NH
• Providers in Brookline, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.