Provider Demographics
NPI:1871285783
Name:SEACOAST NEUROLOGICAL THERAPY LLC
Entity type:Organization
Organization Name:SEACOAST NEUROLOGICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CARISSA
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAGRI
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:603-988-5368
Mailing Address - Street 1:354 WALLIS RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2223
Mailing Address - Country:US
Mailing Address - Phone:603-988-5368
Mailing Address - Fax:
Practice Address - Street 1:354 WALLIS RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2223
Practice Address - Country:US
Practice Address - Phone:603-988-5368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty