Individual
JACQUELINE O. BILLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
32 TANDBERG TRL, 7, WINDHAM, ME 04062-6417
(207) 893-1599
(207) 878-3160
Mailing address
32 TANDBERG TRL, SUITE 7, WINDHAM, ME 04062-6417
(207) 893-1999
(207) 591-4636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP860
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133870000
—
ME
05
—
133877099
—
ME
Enumeration date
08/21/2006
Last updated
03/06/2012
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