Laura Marie Theobald, MS CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rye, NH
NPI 1033460746 · NPPES record last updated Sep 21, 2012
Key facts
- NPI
- 1033460746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0649 (NH)
- Practice address
- 346 Sagamore Rd
Rye, NH 03870-2035 - Phone
- (207) 590-9194
- NPI assigned
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7656 | MA | MD | Family Psychologist |
| SP1066 | ME | MD | Speech-Language Pathologist |
| 0649 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura Theobald Speech Therapy, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0649 | NH | Yes |
| Speech-Language Pathologist | 235Z00000X | 7656 | MA | |
| Speech-Language Pathologist | 235Z00000X | SP1066 | ME |
Addresses
Primary practice location
346 Sagamore Rd
Rye, NH 03870-2035
Mailing address
346 Sagamore Rd
Rye, NH 03870-2035
Phone (207) 590-9194
Other providers in Rye, NH
- Katherine Leah Shlien
- Mary S. Steele
- Cecelia Arrison Tarr
- Joseph Allan Tarta
- The Sage Couch Counseling LLC
- Town of Rye
- Laura Trachtenberg
- Wendy McLaughlin MD PLLC
- Sarah Agnes Woolard
- Michelle York
All providers in Rye, 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 Sep 21, 2012. 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.