Provider Demographics
NPI:1992074827
Name:FUNCTIONAL COMMUNICATION THERAPIES
Entity type:Organization
Organization Name:FUNCTIONAL COMMUNICATION THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:GADD
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/SLP
Authorized Official - Phone:603-935-9723
Mailing Address - Street 1:1650 ELM ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-935-9723
Mailing Address - Fax:603-935-9673
Practice Address - Street 1:1650 ELM ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-935-9723
Practice Address - Fax:603-935-9673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0798235Z00000X
NH1332235Z00000X
NH1223235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty