Individual
MRS. JUDITH H MIKAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7516
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 227-7000
(603) 227-7516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0385
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30402230
—
NH
Enumeration date
01/09/2007
Last updated
08/30/2022
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