Provider Demographics
NPI:1508487877
Name:CANUTO, LAURIE (SLP)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:CANUTO
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 POINT OF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4524
Mailing Address - Country:US
Mailing Address - Phone:603-444-0976
Mailing Address - Fax:
Practice Address - Street 1:34 TWIN MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WHITEFIELD
Practice Address - State:NH
Practice Address - Zip Code:03598-3511
Practice Address - Country:US
Practice Address - Phone:603-837-3088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0943235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist