| NPI | 1760798953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA THIBEAU Speech Language Pathologist 207-872-1967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP1099) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |