| NPI | 1457387904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E HUNTER Billing Specialist 207-797-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 231H00000X Audiologist | |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-10-06 |