Individual
HOLLIE KETTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3232
Mailing address
1 VERNEY DR, GREENFIELD, NH 03047-5000
(603) 547-3311
(603) 547-3232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30404608
—
NH
Enumeration date
11/30/2006
Last updated
07/08/2007
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