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Organization
SCARBOROUGH NEURODEVELOPMENT CENTER, LLC
Active
Organization
SCARBOROUGH NEURODEVELOPMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE VOTH SYLVESTER M.S.,CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(207) 219-8300
Entity
Organization
Contact information
Practice address
144 US ROUTE 1, SUITE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301
Mailing address
144 US ROUTE 1, SUITE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT3082
ME
235Z00000X
Speech-Language Pathologist
Primary
SP1227
ME
235Z00000X
Speech-Language Pathologist
ST2585
ME
Other
Enumeration date
11/14/2013
Last updated
09/07/2016
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