| NPI | 1467143982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GATES Speech Language Pathologist/Owner 207-515-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-05-16 |