NPI | 1699004176 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLIE D. BAILEY Speech Pathologist 207-594-5076 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP655) |
Enumeration Date | 2009-12-14 |
Last Update Date | 2009-12-14 |