Basic Information
| Provider Information | |||||||||
| NPI: | 1558934315 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SONDHI | ||||||||
| FirstName: | ALICIA | ||||||||
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| Credential: | CCC-SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30 ASH ST APT 1 | ||||||||
| Address2: | |||||||||
| City: | HOLLIS | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030496548 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087832306 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1 VERNEY DR | ||||||||
| Address2: | |||||||||
| City: | GREENFIELD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030475000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035473311 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2021 | ||||||||
| LastUpdateDate: | 07/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 2108 | NH | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.