Provider Demographics
NPI:1447505888
Name:KEMP, AMY S (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:S
Last Name:KEMP
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 NEWFANE RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-4844
Mailing Address - Country:US
Mailing Address - Phone:603-472-3141
Mailing Address - Fax:
Practice Address - Street 1:195 MCGREGOR ST
Practice Address - Street 2:UNIT 400
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3748
Practice Address - Country:US
Practice Address - Phone:603-206-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist