Provider Demographics
NPI:1740510817
Name:FOURNIER, NORMAN PAUL (BC-HIS)
Entity type:Individual
Prefix:MR
First Name:NORMAN
Middle Name:PAUL
Last Name:FOURNIER
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 MAST RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-1539
Mailing Address - Country:US
Mailing Address - Phone:603-669-3318
Mailing Address - Fax:603-669-5573
Practice Address - Street 1:757 MAST RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-1539
Practice Address - Country:US
Practice Address - Phone:603-669-3318
Practice Address - Fax:603-669-5573
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH208237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist