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Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Organization
UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONDA MARTIN (BILLING SPECIALIST)
(207) 992-0602
Entity
Organization
Contact information
Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699014241
—
ME
Enumeration date
02/01/2013
Last updated
09/30/2016
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