Judith G Harisiades, SLP
Individual provider Active NPI Speech-Language Pathologist · Pembroke, NH
NPI 1669093522 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1669093522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0185 (NH)
- Practice address
- 209 Academy Rd
Pembroke, NH 03275-1343 - Phone
- (603) 485-7881
- NPI assigned
- May 1, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0185 | NH | Yes |
Addresses
Primary practice location
209 Academy Rd
Pembroke, NH 03275-1343
Mailing address
25 Farrwood Dr
Hooksett, NH 03106-2127
Phone (603) 361-0138
Other providers in Pembroke, NH
- Vincent Emil Greco
- Guardian Ambulance Service, LLC
- Sheila Guinther
- Andrea Paquette Hammond
- Stephanie Tyler Hanson
- Richard A Hochsprung
- Molly Hoekman
- Gabe Holdren
- Charlene Kerri Huard-Marcoux
- Valerie Joy Jones
All providers in Pembroke, 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 May 1, 2020. 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.