| NPI | 1821772344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BALLARD Speech Language Pathologist 207-400-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-06-04 |