Laurie Clark, SLP
Individual provider Active NPI Speech-Language Pathologist · Nashua, NH
NPI 1285779538 · NPPES record last updated Nov 30, 2016
Key facts
- NPI
- 1285779538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0487 (NH)
- Practice address
- 144 Canal St
Nashua, NH 03064-2886 - Phone
- (603) 459-2725
- Fax
- (603) 459-2783
- NPI assigned
- Feb 21, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0487 | NH | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0487 | NH | Yes |
Addresses
Primary practice location
144 Canal St
Nashua, NH 03064-2886
Mailing address
144 Canal St
Nashua, NH 03064-2886
Phone (603) 459-2725
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3071948 | Medicaid | NH |
Other providers in Nashua, NH
- Katherine Cinibulk
- Maise Cintra
- City of Nashua
- Debra P Clark
- Kristy May Clark
- Natalie Clark
- Sarah Clement
- Shawna Diane Clifton
- James Gorden Cline Sr.
- William R Closs III
All providers in Nashua, 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 Nov 30, 2016. 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.