Organization
WELL FED FEEDING AND SWALLOWING THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN THOMPSON M.ED., CCC-SLP, CLC (CEO/SLP)
(603) 600-0003
Entity
Organization
Contact information
Practice address
70 ELWOOD RD, LONDONDERRY, NH 03053-3126
(603) 600-0003
(603) 600-0105
Mailing address
70 ELWOOD RD, LONDONDERRY, NH 03053-3126
(603) 600-0003
(603) 600-0105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12156182
ASHA CERTIFICATE OF CLINICAL COMPETENCE
—
01
—
1866
NH STATE SLP LICENSE
NH
01
—
8867
MA STATE SLP LICENSE
MA
Enumeration date
12/02/2022
Last updated
12/02/2022
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