Provider Demographics
NPI:1437864816
Name:RICHARDS, PETER JR
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:RICHARDS
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 LOUDON RD UNIT 9
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5611
Mailing Address - Country:US
Mailing Address - Phone:603-229-1768
Mailing Address - Fax:
Practice Address - Street 1:133 LOUDON RD UNIT 9
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5611
Practice Address - Country:US
Practice Address - Phone:603-229-1768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-19
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1164237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist