Healthcare Provider Details

I. General information

NPI: 1003977240
Provider Name (Legal Business Name): LAURA A DARLING M.S.CCCSLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 01/06/2022
Certification Date: 01/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 BRIDGE ST STE 1A
CONCORD NH
03301-4987
US

IV. Provider business mailing address

PO BOX 779
CONCORD NH
03302-0779
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-1551
  • Fax: 603-224-1330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number541
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: