Constance Dwinal, SLP
Individual provider Active NPI Speech-Language Pathologist · Laconia, NH
NPI 1962639872 · NPPES record last updated Jun 18, 2009
Key facts
- NPI
- 1962639872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0417 (NH)
- Practice address
- 635 Main St
Laconia, NH 03246-3415 - Phone
- (603) 524-1741
- Fax
- (603) 524-0262
- NPI assigned
- Jun 18, 2009
- Sex
- Female
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0417 | NH | Yes |
Addresses
Primary practice location
635 Main St
Laconia, NH 03246-3415
Mailing address
635 Main St
Laconia, NH 03246-3415
Phone (603) 524-1741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0417 | Other | NH | SLP LICENSE |
Other providers in Laconia, NH
- Sara Jeanne Dupont
- Elizabeth Durassaint
- Rachel J Dussault
- Shaun Dutile
- Jennifer Marion Dutton
- Kellie Eastman
- Brittany Sara Edmunds
- David Ehmann
- Harold Nelson Elliott
- Lisa Ellis Morrissette
All providers in Laconia, 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 Jun 18, 2009. 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.