| NPI | 1376117093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY REILY Speech Language Pathologist 207-931-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-02-26 |