Provider Demographics
NPI:1669673422
Name:RASMUSSEN, WENDY L
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:L
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:L
Other - Last Name:SEAMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 ELM ST
Mailing Address - Street 2:VALLEY REGIONAL HOSPITAL
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-4921
Mailing Address - Country:US
Mailing Address - Phone:603-542-7771
Mailing Address - Fax:603-542-3403
Practice Address - Street 1:243 ELM ST
Practice Address - Street 2:VALLEY REGIONAL HOSPITAL
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-4921
Practice Address - Country:US
Practice Address - Phone:603-542-7771
Practice Address - Fax:603-542-3403
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA429231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0RE5640Medicaid
VT0RE5640Medicaid
NHRE5640Medicare ID - Type UnspecifiedMEDICARE