Paul Nicol
Individual provider Active NPI Speech-Language Pathologist · Brentwood, NH
NPI 1356741573 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1356741573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1492 (NH)
- Practice address
- 117 North Rd
Brentwood, NH 03833-6624 - Phone
- (603) 658-2210
- NPI assigned
- Aug 25, 2014
- Sex
- Male
- 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 |
|---|---|---|---|
| 1492 | NH | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1492 | NH | Yes |
Addresses
Primary practice location
117 North Rd
Brentwood, NH 03833-6624
Mailing address
44 Orchard St
Amesbury, MA 01913-1523
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- Sarah Polcaro
- Power Up Physical Therapy & Fitness
- Christina M T Richardson
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All providers in Brentwood, 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 Aug 25, 2014. 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.