Individual
MS. CYNTHIA R BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
52 GANNESTON DR, AUGUSTA, ME 04330-6245
(207) 623-1885
Mailing address
52 GANNESTON DR, AUGUSTA, ME 04330-6245
(207) 623-1885
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP813
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219610001
—
ME
01
—
66Z025258ME01
ANTHEM BLUE CROSS/BLUE SHIELD
ME
Enumeration date
01/14/2009
Last updated
01/14/2009
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