Provider Demographics
NPI:1871122820
Name:DOYLE, ANNE MAUREEN (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:MAUREEN
Last Name:DOYLE
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 HUNT RD
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:NH
Mailing Address - Zip Code:03222-5128
Mailing Address - Country:US
Mailing Address - Phone:603-254-8849
Mailing Address - Fax:
Practice Address - Street 1:43 OLD WARD BRIDGE RD
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-1238
Practice Address - Country:US
Practice Address - Phone:603-536-1152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0704235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist