Provider Demographics
NPI:1922183490
Name:SOLOMON PLANTE, AMY (SLP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SOLOMON PLANTE
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 1:12 LUCAS POND RD.
Mailing Address - Street 2:PO BOX 155
Mailing Address - City:W. NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03291-0155
Mailing Address - Country:US
Mailing Address - Phone:603-862-2546
Mailing Address - Fax:603-862-4511
Practice Address - Street 1:4 LIBRARY WAY
Practice Address - Street 2:UNH SPEECH-LANGUAGE-HEARING CENTER
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-3563
Practice Address - Country:US
Practice Address - Phone:603-862-2546
Practice Address - Fax:603-862-4511
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0002235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010341Medicaid
NH22713YMedicare UPIN