Basic Information
| Provider Information | |||||||||
| NPI: | 1922069459 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CARROLL-PLANTE | ||||||||
| FirstName: | DANIEL | ||||||||
| MiddleName: | PAUL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10 DONNA DR | ||||||||
| Address2: | |||||||||
| City: | PEMBROKE | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032753104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038920361 | ||||||||
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| Practice Location | |||||||||
| Address1: | 718 SMYTH RD | ||||||||
| Address2: | VA MEDICAL CENTER | ||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031047004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036244366 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AP1103 | ME | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.