Provider Demographics
NPI:1932497252
Name:BOOTH, EMILY J (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:BOOTH
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:131 MAIN ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2405
Mailing Address - Country:US
Mailing Address - Phone:603-217-5299
Mailing Address - Fax:603-217-5299
Practice Address - Street 1:131 MAIN ST UNIT B
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2405
Practice Address - Country:US
Practice Address - Phone:603-217-5299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1371235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist