Provider Demographics
NPI:1578775375
Name:SPEECH THERAPY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:SPEECH THERAPY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:603-893-8550
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:STE 2D
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3188
Mailing Address - Country:US
Mailing Address - Phone:603-893-8550
Mailing Address - Fax:603-893-8680
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:STE 2D
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3188
Practice Address - Country:US
Practice Address - Phone:603-893-8550
Practice Address - Fax:603-893-8680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3074042Medicaid