Individual
JULIA RUTH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HIGH ST, LEWISTON, ME 04240-7616
(207) 795-2590
Mailing address
60 HIGH ST, LEWISTON, ME 04240-7616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3448
MAINE ST LICENSE
ME
Enumeration date
02/18/2022
Last updated
02/18/2022
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