Individual
ANN RITA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
12 OVERLOOK DRIVE, SCARBOROUGH, ME 04074-8201
(207) 939-6514
Mailing address
12 OVERLOOK DR, SCARBOROUGH, ME 04074-8201
(207) 939-6514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1027
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037622
ANTHEM BCBS
ME
05
—
247870099
—
ME
Enumeration date
01/29/2007
Last updated
12/14/2023
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