| NPI | 1659701498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE VOTH SYLVESTER Speech And Language Pathologist 207-219-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1227) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT3082) |
| 235Z00000X Speech-Language Pathologist, (Licence: ME ST2585) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2016-09-07 |