Provider Demographics
NPI:1902446669
Name:SEACOAST SPEAKS SPEECH AND LANGUAGE THERAPY PLLC
Entity Type:Organization
Organization Name:SEACOAST SPEAKS SPEECH AND LANGUAGE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOTH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:781-223-5334
Mailing Address - Street 1:131B MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2428
Mailing Address - Country:US
Mailing Address - Phone:603-734-5280
Mailing Address - Fax:603-734-5280
Practice Address - Street 1:131B MAIN ST
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2428
Practice Address - Country:US
Practice Address - Phone:603-734-5280
Practice Address - Fax:603-734-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech