Active NPIIndividual provider

Melissa Bourgoin, MA CCC-SLP

Speech-Language Pathologist, in Pembroke, New Hampshire

NPI Number1306444872
Practice location
715 Riverwood Dr, Pembroke, NH 03275-3701
Fax
—
Last updated
October 15, 2020

Melissa Bourgoin is a Speech-Language Pathologist, based in Pembroke, NH. Melissa Bourgoin practices in Pembroke, NH and has the professional credentials of MA CCC-SLP. The NPI Number for Melissa Bourgoin is 1306444872 and holds a License No. 0736 (NH). The current practice location address for Melissa Bourgoin is 715 Riverwood Dr, Pembroke, NH 03275-3701 and can be reached out via phone at 603-225-2715.

Provider Profile Details

NPI Number
1306444872
Provider Name
Melissa Bourgoin
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
715 Riverwood Dr, Pembroke, NH 03275-3701
Phone Number
603-225-2715
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2020
Last Update Date
October 15, 2020
Certification Date
October 15, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
715 Riverwood Dr
Pembroke, NH 03275-3701
Zip
03275-3701
Phone Number
603-225-2715
Pembroke, NH 03275Get directions →

Provider Business Mailing Address Details

Address
806 N Main St
Laconia, NH 03246-2603
City
Laconia
State
NH
Zip
03246-2603
Phone Number
603-524-9090
Fax Number
603-524-1497

License Information

License Number
0736
License State
NH
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa Bourgoin, MA CCC-SLP?

The NPI number of Melissa Bourgoin, MA CCC-SLP is 1306444872. It was assigned on October 15, 2020 and is currently active in the NPPES registry.

What is the specialty of Melissa Bourgoin, MA CCC-SLP?

Melissa Bourgoin, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NH under license number 0736.

Where does Melissa Bourgoin, MA CCC-SLP practice?

The practice location is 715 Riverwood Dr, Pembroke, NH 03275-3701. The office can be reached at 603-225-2715 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306444872 directly on the NPPES registry website.

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