Michelle Brodeur, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0884 Issued in NH

Practice address

71 Amherst St
Nashua, NH 03064-2530

Phone

(603) 966-1000

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1619641032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SYRACUSE RD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030641711",
            "telephone_number": "603-566-6232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030642530",
            "telephone_number": "603-966-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "MICHELLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Ann Broadhurst
• Katherine Brock, MSN, APRN, PMHNP-BC
• Paul Broder, PH.D.
• Amanda Faith Brodeur
• Andrew Brodeur, BCBA, LABA
• Daniel W Brodmerkel, DO
• Michelle Brogan
• Boris I Bronfine, MD
• Martha W Brooks
• Sonia Jean Brooks

• Speech-Language Pathologist in Nashua, NH
• Providers in Nashua, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.