Jean Marie Casey-Spillane, SLP

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

NPI 1194914739 · NPPES record last updated Oct 19, 2007

Key facts

NPI
1194914739
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
392 (NH)
Practice address
17 Kelso Dr
Bow, NH 03304-4706
Phone
(603) 226-4401
NPI assigned
Oct 19, 2007
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
392NHMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 392 NH Yes

Addresses

Primary practice location

17 Kelso Dr
Bow, NH 03304-4706

Mailing address

17 Kelso Dr
Bow, NH 03304-4706
Phone (603) 226-4401

Other providers in Bow, NH

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

Sources for this page

Verify at the official NPI Registry.