Provider Demographics
NPI:1104407824
Name:ATTORRI, JUDITH
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:ATTORRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAU24, 258 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242
Mailing Address - Country:US
Mailing Address - Phone:603-428-3269
Mailing Address - Fax:603-428-6545
Practice Address - Street 1:14 CENTER ROAD
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281-0328
Practice Address - Country:US
Practice Address - Phone:603-529-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist