Sophia Grace Dewsnap

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

NPI 1114680253 · NPPES record last updated Feb 5, 2024

Key facts

NPI
1114680253
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
22 Tuck Rd
Hampton, NH 03842-1225
Phone
(603) 926-4551
NPI assigned
Oct 15, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

22 Tuck Rd
Hampton, NH 03842-1225

Mailing address

22 Tuck Rd
Hampton, NH 03842-1225
Phone (603) 926-4551

Other providers in Hampton, NH

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

Sources for this page

Verify at the official NPI Registry.