Provider Demographics
NPI:1073840203
Name:RICHARDS, ALISON MINDY (CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MINDY
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 LAFAYETTE RD
Mailing Address - Street 2:UNIT #3
Mailing Address - City:HAMPTON FALLS
Mailing Address - State:NH
Mailing Address - Zip Code:03844-2317
Mailing Address - Country:US
Mailing Address - Phone:603-926-3277
Mailing Address - Fax:
Practice Address - Street 1:87 LAFAYETTE RD
Practice Address - Street 2:UNIT #3
Practice Address - City:HAMPTON FALLS
Practice Address - State:NH
Practice Address - Zip Code:03844-2317
Practice Address - Country:US
Practice Address - Phone:603-926-3277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1197235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist