Madeline Perry, M.A CCC-SLP

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

NPI 1487313664 · NPPES record last updated Mar 16, 2022

Key facts

NPI
1487313664
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2105 (NH)
Practice address
61 Marsh Rd
Pelham, NH 03076-3134
Phone
(603) 635-8875
NPI assigned
Dec 15, 2021
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2105NHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2105 NH Yes

Addresses

Primary practice location

61 Marsh Rd
Pelham, NH 03076-3134

Mailing address

61 Marsh Rd
Pelham, NH 03076-3134

Other identifiers

IdentifierTypeStateIssuer
2105MedicaidNH

Other providers in Pelham, NH

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

Sources for this page

Verify at the official NPI Registry.