Active NPIIndividual providerSole proprietor

Gohar Bazemore, MS CCC/SLP

Speech-Language Pathologist, in Brookline, New Hampshire

NPI Number1639597743
Practice location
16 Russell Hill RD, Brookline, NH 03033-2103
Fax
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Last updated
April 16, 2026

Gohar Bazemore is a Speech-Language Pathologist, based in Brookline, NH. Gohar Bazemore practices in Brookline, NH and has the professional credentials of MS CCC/SLP. The NPI Number for Gohar Bazemore is 1639597743 and holds a License No. 9004 (MA). The current practice location address for Gohar Bazemore is 16 Russell Hill RD, Brookline, NH 03033-2103 and can be reached out via phone at 323-573-3349.

Provider Profile Details

NPI Number
1639597743
Provider Name
Gohar Bazemore
Credential
MS CCC/SLP
Provider Entity Type
Individual
Gender
Female
Address
16 Russell Hill RD, Brookline, NH 03033-2103
Phone Number
323-573-3349
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 4, 2014
Last Update Date
April 16, 2026
Certification Date
April 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Russell Hill RD
Brookline, NH 03033-2103
Zip
03033-2103
Phone Number
323-573-3349
Brookline, NH 03033Get directions →

Provider Business Mailing Address Details

Address
16 Russell Hill RD
Brookline, NH 03033-2103
City
Brookline
State
NH
Zip
03033-2103
Phone Number
323-573-3349

License Information

License Number (1)
9004
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X
License Number (2)
30696
License State (2)
CA
Taxonomy (2)
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 Gohar Bazemore, MS CCC/SLP?

The NPI number of Gohar Bazemore, MS CCC/SLP is 1639597743. It was assigned on April 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Gohar Bazemore, MS CCC/SLP?

Gohar Bazemore, MS CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 9004.

Where does Gohar Bazemore, MS CCC/SLP practice?

The practice location is 16 Russell Hill RD, Brookline, NH 03033-2103. The office can be reached at 323-573-3349 (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 1639597743 directly on the NPPES registry website.

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