Organization
INNOVATIVE SPEECH THERAPY INSTITUTE, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALMA LUZ VELASQUEZ-ERMATINGER MS-CCC-SLP (MANAGER-SPEECH LANGUAGE PATHOLOGIST)
(603) 318-6552
Entity
Organization
Contact information
Practice address
108 RIVERWAY PL BLDG 1, BEDFORD, NH 03110-6730
(603) 318-6552
Mailing address
108 RIVERWAY PL BLDG 1, BEDFORD, NH 03110-6730
(603) 318-6552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0980
NH
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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