Healthcare Provider Details

I. General information

NPI: 1306407036
Provider Name (Legal Business Name): EMMA B MICHAUD AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: EMMA B PIEHL AUD

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TSIENNETO RD STE 305A
DERRY NH
03038-1647
US

IV. Provider business mailing address

288 S RIVER RD BLDG A1
BEDFORD NH
03110-7089
US

V. Phone/Fax

Practice location:
  • Phone: 603-669-0831
  • Fax: 603-541-4898
Mailing address:
  • Phone: 603-595-4800
  • Fax: 603-541-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: