Provider Demographics
NPI:1609671585
Name:PELLETIER, AMY SCHWAB (SLP)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:SCHWAB
Last Name:PELLETIER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PELHAM RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051-4830
Mailing Address - Country:US
Mailing Address - Phone:603-401-9691
Mailing Address - Fax:
Practice Address - Street 1:10 PELHAM RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051-4830
Practice Address - Country:US
Practice Address - Phone:603-401-9691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0590235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist