Organization
SEACOAST SPEECH & LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE ELLICOTT SLP (OWNER)
(603) 553-0589
Entity
Organization
Contact information
Practice address
70 HERITAGE AVE UNIT 15, PORTSMOUTH, NH 03801-5651
(603) 553-0589
Mailing address
70 LIBERTY CMN, RYE, NH 03870-2013
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0768
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508390964
TYPE 1 NPI
—
Enumeration date
02/02/2018
Last updated
02/02/2018
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