Provider Demographics
NPI:1639774953
Name:POLLARD, TARA LYNNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:LYNNE
Last Name:POLLARD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HAMPSTEAD MIDDLE SCHOOL
Mailing Address - Street 2:28 SCHOOL ST
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841
Mailing Address - Country:US
Mailing Address - Phone:603-329-6743
Mailing Address - Fax:
Practice Address - Street 1:HAMPSTEAD MIDDLE SCHOOL
Practice Address - Street 2:28 SCHOOL ST
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-0384
Practice Address - Country:US
Practice Address - Phone:603-329-6743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0717235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist