Individual
MICHELLE HILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 PRESUMPSCOT ST, PORTLAND, ME 04103-5225
(207) 828-0754
Mailing address
156 DANFORTH ST APT 2, PORTLAND, ME 04102-3865
(207) 459-0393
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1542
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061412
ANTHEM
ME
01
—
1284305
AENTA
ME
Enumeration date
02/21/2007
Last updated
07/09/2007
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