Basic Information
Provider Information
NPI: 1962524215
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCARPINO
FirstName: CHRISTIANE
MiddleName: JANE
NamePrefix: MS.
NameSuffix:  
Credential: SLP, LMT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 214 HASTINGS RD
Address2:  
City: ASHBURNHAM
State: MA
PostalCode: 01430
CountryCode: US
TelephoneNumber: 9788276704
FaxNumber: 9788276704
Practice Location
Address1: 300 RIVERMEAD RD
Address2:  
City: PETERBOROUGH
State: NH
PostalCode: 034581762
CountryCode: US
TelephoneNumber: 6039240062
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2007
LastUpdateDate: 02/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X0758NHY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 
235Z00000X1270MAN Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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