Julie Shannon Maislen, CCC-SLP

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

NPI 1265901151 · NPPES record last updated Jun 7, 2021

Key facts

NPI
1265901151
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
14194701 (NH)
Practice address
21 Academy St
Epping, NH 03042-2911
Phone
(603) 316-8001
NPI assigned
Nov 20, 2018
Sex
Female
Sole proprietor
No

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
14194701NHMDSpeech-Language Pathologist
P-0752NHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X P-0752 NH
Speech-Language Pathologist 235Z00000X 14194701 NH Yes

Addresses

Primary practice location

21 Academy St
Epping, NH 03042-2911

Mailing address

10 Wiggin Way
Stratham, NH 03885-2486
Phone (603) 316-8001

Other practice location 1

14 Harvest Way
Newmarket, NH 03857-3108
Phone (757) 375-2341

Other identifiers

IdentifierTypeStateIssuer
14194701OtherASHA
P-0752OtherNHNH BOARD OF ALLIED HEALTH

Other providers in Epping, NH

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

Sources for this page

Verify at the official NPI Registry.