Provider Demographics
NPI:1164536868
Name:FERROLI, DARLENE KATHRYN (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:KATHRYN
Last Name:FERROLI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:
Other - Last Name:FERROLI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:21 PINE HILL EST
Mailing Address - Street 2:
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281-4242
Mailing Address - Country:US
Mailing Address - Phone:603-529-3568
Mailing Address - Fax:603-529-3939
Practice Address - Street 1:21 PINE HILL EST
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281-4242
Practice Address - Country:US
Practice Address - Phone:603-529-3568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH11625439OtherCAQH UNIVERSAL CREDENTIAL