Individual
DIANA VONHALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLP SPEECH PATHO
Contact information
Practice address
618 MAIN STREET, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Mailing address
PO BOX 8600, PORTLAND, ME 04104
(207) 774-6323
(207) 761-8460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP861
ME
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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