Healthcare Provider Details

I. General information

NPI: 1083520175
Provider Name (Legal Business Name): MELISSA A. BUGEAU P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 BROAD ST STE 1511
NASHUA NH
03063-3205
US

IV. Provider business mailing address

154 BROAD ST STE 1511
NASHUA NH
03063-3205
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-5551
  • Fax:
Mailing address:
  • Phone: 603-577-5551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. MELISSA A BUGEAU
Title or Position: SOCIAL WORKER
Credential: LICSW
Phone: 603-577-5551