Healthcare Provider Details

I. General information

NPI: 1275773871
Provider Name (Legal Business Name): KIDSPEAK THERAPIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2009
Last Update Date: 10/14/2022
Certification Date: 02/18/2022
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: 603-224-1551
  • Fax: 603-224-1330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number541
License Number StateNH

VIII. Authorized Official

Name: LAURA A DARLING
Title or Position: OWNER
Credential:
Phone: 603-224-1551