Brooke Wilson, MA
Individual provider Active NPI Speech-Language Pathologist · Brookline, NH
NPI 1013309012 · NPPES record last updated Jun 22, 2023
Key facts
- NPI
- 1013309012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1944 (NH)
- Practice address
- 22 Milford St
Brookline, NH 03033-2446 - Phone
- (603) 673-4640
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1944 | NH | MD | Clinical Social Worker |
| 76780 | MA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Childrens Therapies | Past |
Accepting new patients | |
| Integrated Children'S Therapies, Inc. | Speech-Language Pathologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 76780 | MA | |
| Speech-Language Pathologist | 235Z00000X | 1944 | NH | Yes |
Addresses
Primary practice location
22 Milford St
Brookline, NH 03033-2446
Mailing address
6 Pope Rd
Brookline, NH 03033-2510
Phone (978) 875-0690
Other names
- Brooke Talcott
Other providers in Brookline, NH
- William Stephen Price
- Sandra Stronkowski
- Elizabeth Daulton Sulin
- Raquel Tomic-Beard
- Bethany Danielle Walker
All providers in Brookline, NH · Speech-Language Pathologist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.