Organization
CEDAR STREET PRESCHOOL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYBETH D PRIDE CCC SLP (DIRECTOR)
(207) 208-7233
Entity
Organization
Contact information
Practice address
78 CEDAR ST, ROCKLAND, ME 04841-3146
(202) 208-7233
Mailing address
78 CEDAR ST, ROCKLAND, ME 04841-3146
(202) 208-7233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1303
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263810000
—
ME
Enumeration date
10/16/2011
Last updated
10/16/2011
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