Kristen Fecteau, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Moultonborough, NH
NPI 1043848286 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1043848286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2035 (NH)
- Practice address
- 916 Whittier Hwy
Moultonborough, NH 03254-3303 - Phone
- (603) 476-5535
- NPI assigned
- Apr 1, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2035 | NH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boothby Therapy Services, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2035 | NH | Yes |
Addresses
Primary practice location
916 Whittier Hwy
Moultonborough, NH 03254-3303
Mailing address
806 N Main St
Laconia, NH 03246-2603
Phone (603) 524-9090
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kfecteau@sau45.org | Direct | Moultonborough School District |
Other providers in Moultonborough, NH
- April Womack Chambers
- Justin Clark
- Allyson Coggins
- Hilary Diehl
- Patricia Ann Domenichello
- Jill Heather Flanagan
- Four Your Eyes Only LLC
- Julie Elizabeth Furlan
- Jennifer Goodale Galea
- Greater Accord Health Inc
All providers in Moultonborough, 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 Jan 28, 2021. 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.