Provider Demographics
NPI:1134368533
Name:LITTLE, STEPHEN J (MED,BC-HIS)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:J
Last Name:LITTLE
Suffix:
Gender:M
Credentials:MED,BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ISLINGTON ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4263
Mailing Address - Country:US
Mailing Address - Phone:603-433-4488
Mailing Address - Fax:603-766-6319
Practice Address - Street 1:100 ISLINGTON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4263
Practice Address - Country:US
Practice Address - Phone:603-433-4488
Practice Address - Fax:603-766-6319
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-10
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH345237700000X
MEDL352237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist