Doctor Name: | AMY LISTER |
NPI Number: | 1568580090 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC, SLP |
License Number: | 6600 |
Business Practice Address: | 12 Adams Ave Merrimack, NH - 030547020 |
Business Phone Number: | 6035664730 |
Business Fax Number: | 6032625816 |
Mailing Address: | 12 Adams Ave, MERRIMACK |
State: | NH |
Postal Code: | 030547020 |
Phone Number: | 6035664730 |
Fax Number: | 6032625816 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 01/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6600 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |