Provider Demographics
NPI:1649458852
Name:TOBY FREEMAN, M.S., C.C.C.,-SP.
Entity type:Organization
Organization Name:TOBY FREEMAN, M.S., C.C.C.,-SP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SP
Authorized Official - Phone:603-472-3144
Mailing Address - Street 1:24 GALLOWAY LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5718
Mailing Address - Country:US
Mailing Address - Phone:603-472-3144
Mailing Address - Fax:603-471-0041
Practice Address - Street 1:24 GALLOWAY LN
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5718
Practice Address - Country:US
Practice Address - Phone:603-472-3144
Practice Address - Fax:603-471-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-11
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0018261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech