Provider Demographics
NPI:1326216185
Name:SBRILLI, THERESA R (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:THERESA
Middle Name:R
Last Name:SBRILLI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:HOERNLEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:383 CENTRAL AVE
Mailing Address - Street 2:LL 65
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-6420
Mailing Address - Country:US
Mailing Address - Phone:603-742-3843
Mailing Address - Fax:603-742-3885
Practice Address - Street 1:383 CENTRAL AVE
Practice Address - Street 2:LL 65
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-6420
Practice Address - Country:US
Practice Address - Phone:603-742-3843
Practice Address - Fax:603-742-3885
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0533235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist