Provider Demographics
NPI:1720035967
Name:DRURY, CAROLYN R (MS)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:R
Last Name:DRURY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 KINSLEY ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-3676
Mailing Address - Country:US
Mailing Address - Phone:603-595-4800
Mailing Address - Fax:603-598-8307
Practice Address - Street 1:166 KINSLEY ST
Practice Address - Street 2:SUITE 302
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3676
Practice Address - Country:US
Practice Address - Phone:603-595-4800
Practice Address - Fax:603-598-8307
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA102231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30431143Medicaid
NH30431143Medicaid