Provider Demographics
NPI:1457090599
Name:SIMARD, CHANTAL (AUD)
Entity type:Individual
Prefix:DR
First Name:CHANTAL
Middle Name:
Last Name:SIMARD
Suffix:
Gender:
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CENTURY LN
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03052-1074
Mailing Address - Country:US
Mailing Address - Phone:603-913-3424
Mailing Address - Fax:
Practice Address - Street 1:158 NH ROUTE 108 STE G
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-8812
Practice Address - Country:US
Practice Address - Phone:603-742-6555
Practice Address - Fax:603-742-3256
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
MD01608231H00000X, 237600000X
NHA854231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter