Provider Demographics
NPI:1043529837
Name:DROUIN, SUE MARIE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SUE
Middle Name:MARIE
Last Name:DROUIN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GRANITE AVENUE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3125
Mailing Address - Country:US
Mailing Address - Phone:603-893-6018
Mailing Address - Fax:603-893-6018
Practice Address - Street 1:14 GRANITE AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3125
Practice Address - Country:US
Practice Address - Phone:603-893-6018
Practice Address - Fax:603-893-6018
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0697235Z00000X
MA3154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0697OtherSLP LICENSE #
MA3154OtherSLP LICENSE #