Organization
PORTLAND PEDIATRIC SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BAHADORI M.A., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(301) 802-8342
Entity
Organization
Contact information
Practice address
341 HIGHLAND AVE # 1, SOUTH PORTLAND, ME 04106-4510
(301) 802-8342
Mailing address
341 HIGHLAND AVE # 1, SOUTH PORTLAND, ME 04106-4510
(301) 802-8342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2317
ME
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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