Diane S Abbate, CCC-SLP

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

NPI 1194336529 · NPPES record last updated Aug 10, 2020

Key facts

NPI
1194336529
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0538 (NH)
Practice address
17 Fern LN
Laconia, NH 03246-4087
Phone
(603) 499-3451
NPI assigned
Aug 10, 2020
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

State licenses

LicenseStateTypeSpecialty
0538NHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0538 NH Yes

Addresses

Primary practice location

17 Fern LN
Laconia, NH 03246-4087

Mailing address

17 Fern LN
Laconia, NH 03246-4087
Phone (603) 499-3451

Other providers in Laconia, NH

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

Sources for this page

Verify at the official NPI Registry.