Individual
DIANE M HAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
248 STATE ST STE 3A, ELLSWORTH, ME 04605-1850
(207) 667-4413
(207) 667-6493
Mailing address
248 STATE ST STE 3A, ELLSWORTH, ME 04605-1850
(207) 667-4413
(207) 667-6493
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1738
ME
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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