# SANDCASTLE PRESCHOOL PROGRAM FOUNDATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sandcastle Clinical and Educational Services, LA Hearing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881714491
- **Authorized official:** MRS. STEPHANIE GELINAS M.S,CCC-SLP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (207) 782-2150

## Contact information

- **Practice address:** 72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
- **Practice address phone:** (207) 782-2150
- **Practice address fax:** (207) 782-3621
- **Mailing address:** 72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
- **Mailing address phone:** (207) 782-2150
- **Mailing address fax:** (207) 782-3621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 252Y00000X | Early Intervention Provider Agency | 215544 | ME | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 06/03/2019
