# SOUTHERN MAINE SPEECH & LANGUAGE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386886323
- **Authorized official:** JACQUELINE BILLINGTON M.S. CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (207) 893-1599

## Contact information

- **Practice address:** 32 TANDBERG TRL UNIT 7, WINDHAM, ME 04062-6417
- **Practice address phone:** (207) 893-1599
- **Practice address fax:** (207) 591-4636
- **Mailing address:** 32 TANDBERG TRL UNIT 7, WINDHAM, ME 04062-6417
- **Mailing address phone:** (207) 893-1599
- **Mailing address fax:** (207) 591-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | SP860 | ME | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 02/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1023123601 | INDIVIDUAL NPI | — |
| 05 | — | 133870000 | — | ME |