Individual
GINA M. VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
37 MILL ST # 8, BRUNSWICK, ME 04011-1914
(207) 719-6696
Mailing address
37 MILL ST # 8, BRUNSWICK, ME 04011-1914
(207) 719-6696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
P-0514
NH
235Z00000X
Speech-Language Pathologist
SLP101011
MA
235Z00000X
Speech-Language Pathologist
Primary
ST2175
ME
Other
Enumeration date
08/12/2012
Last updated
02/11/2026
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