Individual
SUSAN BAHADORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
341 HIGHLAND AVE # 1, SOUTH PORTLAND, ME 04106-4510
(301) 802-8342
Mailing address
341 HIGHLAND AVE # 1, SOUTH PORTLAND, ME 04106-4510
(301) 802-8342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2317
ME
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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