Individual
GOHAR BAZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC/SLP
Contact information
Practice address
16 RUSSELL HILL RD, BROOKLINE, NH 03033-2103
(323) 573-3349
Mailing address
16 RUSSELL HILL RD, BROOKLINE, NH 03033-2103
(323) 573-3349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30696
CA
235Z00000X
Speech-Language Pathologist
9004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028103
NEW YORK SPEECH-LANGUAGE PATHOLOGY-AUDIOLOGY
NY
01
—
14094086
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
MA
01
—
30696
CALIFORNIA-SPEECH LANGUAGE PATHOLOGY-AUDIOLOGY
CA
01
—
9004
MASSACHUSETTS SPEECH LANGUAGE PATHOLOGY-AUDIOLOGY BOARD
MA
Enumeration date
04/04/2014
Last updated
04/16/2026
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