Gohar Bazemore, M.S. CCC/SLP
NPI 1639597743ActiveIndividual· Speech-Language Pathologist· Brookline, NH
Speech-Language Pathologist (M.S. CCC/SLP) in Brookline, New Hampshire, licensed in CA and MA, with an NPI issued in April 2014.
Overview
| NPI | 1639597743 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S. CCC/SLP |
| Sole proprietor | Yes |
| NPI issued | Apr 4, 2014 |
| Last updated in NPPES | Apr 16, 2026 |
| Certified by provider | Apr 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 30696 | CA |
| Speech-Language Pathologist | 235Z00000X | 9004 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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