| NPI | 1154606671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH D PRIDE Director 207-208-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1303) |
| Enumeration Date | 2011-10-16 |
| Last Update Date | 2011-10-16 |