Provider Demographics
NPI:1083011050
Name:RAAB, HEATHER HANSON (MS, SLP/CCC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:HANSON
Last Name:RAAB
Suffix:
Gender:F
Credentials:MS, SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HILTON DR
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-2200
Mailing Address - Country:US
Mailing Address - Phone:978-886-4450
Mailing Address - Fax:603-778-0388
Practice Address - Street 1:11 SANDY POINT RD
Practice Address - Street 2:
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2121
Practice Address - Country:US
Practice Address - Phone:603-778-8193
Practice Address - Fax:603-778-0388
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1466235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist