Organization
FAGAN CENTER FOR COMMUNICATON LLC
Active
Other names
Elizabeth Fagan
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MCKINLEY BS (BILLING MANAGER)
(207) 939-7072
Entity
Organization
Contact information
Practice address
985 FOREST AVE, PORTLAND, ME 04103-3303
(207) 797-2351
(207) 839-2197
Mailing address
985 FOREST AVE, PORTLAND, ME 04103-3303
(207) 797-2351
(207) 839-2197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP886
ME
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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