Individual
VIRGINIA COUGHLIN WEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 CAMPUS DR UNIT 121, SCARBOROUGH, ME 04074-7172
(207) 396-7760
(207) 396-8500
Mailing address
190 RIVERSIDE ST UNIT 6B, PORTLAND, ME 04103-1073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2774
ME
Other
Enumeration date
01/30/2019
Last updated
03/03/2026
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