Provider Demographics
NPI:1194871004
Name:O'DAY, JAMES MARSHALL (AUD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MARSHALL
Last Name:O'DAY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 PAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3531
Mailing Address - Country:US
Mailing Address - Phone:603-326-5700
Mailing Address - Fax:603-326-5771
Practice Address - Street 1:59 PAGE HILL RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-3531
Practice Address - Country:US
Practice Address - Phone:603-326-5700
Practice Address - Fax:603-326-5771
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA90231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA31400OtherHARVARD PILGRIM
ME2099610OtherCIGNA
NH80648809Medicaid
NH7308809Y0NH02OtherANTHEM
NHAA31400OtherHARVARD PILGRIM
NH7308809Y0NH02OtherANTHEM