Active NPI
Constance Dwinal, SLP
- Speech-Language Pathologist
- Laconia, NH
National Provider Identifier
1962639872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 0417
- Practice address
- 635 Main St
Laconia, NH 03246-3415 - Phone
- (603) 524-1741
- Fax
- (603) 524-0262
- NPI assigned
- Jun 18, 2009
- Last updated
- Jun 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0417 | NH | Primary |
Addresses
Primary practice location
635 Main St
Laconia, NH 03246-3415
Mailing address
635 Main St
Laconia, NH 03246-3415
Phone (603) 524-1741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245283200000",
"number": "1962639872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 MAIN ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463415",
"telephone_number": "603-524-1741",
"fax_number": "603-524-0262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 MAIN ST",
"city": "LACONIA",
"state": "NH",
"postal_code": "032463415",
"telephone_number": "603-524-1741",
"fax_number": "603-524-0262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWINAL",
"first_name": "CONSTANCE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-18",
"last_updated": "2009-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "0417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.