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Organization

SPEECH AND LANGUAGEDIAGNOSTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRA LOUISE BALLARD CCC-SLP (OWNER)
(702) 279-3834
Entity
Organization

Contact information

Practice address
76 BABBIDGE RD, FALMOUTH, ME 04105-2479
(702) 279-3834
Mailing address
76 BABBIDGE RD, FALMOUTH, ME 04105-2479
(702) 279-3834

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174978829
TYPE 1 PROVIDER NPI
Enumeration date
08/04/2020
Last updated
08/04/2020
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