Individual
MRS. SUSAN BETH SANAGORSKI-PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
29 BAILEY BRIDGE RD, HARMONY, ME 04942-7233
(207) 683-2027
Mailing address
29 BAILEY BRIDGE RD, HARMONY, ME 04942-7233
(207) 683-2027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP368
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11547334
CAQH
—
Enumeration date
05/23/2007
Last updated
07/08/2007
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