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Active NPI 1306444872 Individual Practitioner Female Practitioner

Melissa Bourgoin , MA CCC-SLP

Speech-Language Pathologist • Pembroke, NH

Professional Overview & Biography Verified Profile Summary

Melissa Bourgoin, MA CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Pembroke, NH. Practice services are available at 715 RIVERWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

715 Riverwood Dr

Pembroke, NH 032753701

Telephone 6032252715
Associated Practice Facility / Clinic
🏢 Boothby Therapy Services, Llc Facility NPI 1770797094

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pembroke, NH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
8 Specialists

Practicing in Pembroke, NH (1124 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-10-15
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License NH 0736

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 15, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 15, 2020

Registered at 715 RIVERWOOD DR, PEMBROKE, NH 032753701 (Tel: 6032252715)

📍
Updated Business Mailing Address October 15, 2020

Registered at 806 N MAIN ST, LACONIA, NH 032462603 (Tel: 6035249090)

👤
Provider Name / Credentials Updated October 15, 2020

Recorded as MELISSA BOURGOIN, MA CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2020

Speech-Language Pathologist (License #0736 in NH)

🟢
Initial NPI Registration & Enumeration October 15, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306444872
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2020
Last Update: October 15, 2020
Sole Proprietor: No

Mailing Address

806 N Main St

Laconia, NH 032462603

Phone: 6035249090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.