Dormer Speech and Listening LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5930 Issued in MA

Legal business name

DORMER SPEECH AND LISTENING LLC

Practice address

1 Branch St Ste 103
Methuen, MA 01844-1923

Phone

(978) 790-6460

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael John Dormer, MS, SLP-CCCNPI 1053527960

Title

Owner

Phone

(978) 790-6460

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Dormer, MS, SLP-CCC

  • Speech-Language Pathologist
  • Methuen, MA
  • NPI 1053527960
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1366986093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRANCH ST STE 103",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441923",
            "telephone_number": "978-790-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRANCH ST STE 103",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018441923",
            "telephone_number": "978-790-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMER SPEECH AND LISTENING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "DORMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-790-6460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "5930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053527960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon M Doherty, LICSW
• Cheme Dolma, NP
• Lourdes Dominguez
• Ania Donat Mortel
• Megan Dorismond
• Michael J Dormer, MS, SLP-CCC
• James Doyle, O.D.
• Dr. Dental of Methuen, PC
• Alyssa Drouin
• Joann Marie Duffy, RN

• Speech-Language Pathologist in Methuen, MA
• Providers in Methuen, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.