Provider Demographics
NPI:1770119844
Name:MASSE-ARIKIAN, JODY (MED)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:
Last Name:MASSE-ARIKIAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-3035
Mailing Address - Country:US
Mailing Address - Phone:603-320-7374
Mailing Address - Fax:
Practice Address - Street 1:192 FOREST RD
Practice Address - Street 2:
Practice Address - City:LYNDEBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03082-6210
Practice Address - Country:US
Practice Address - Phone:603-654-9381
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant