Individual
SUMMER MASSARO ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1460 POST RD, WELLS, ME 04090-4508
(207) 646-5142
Mailing address
PO BOX 104, OGUNQUIT, ME 03907-0104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1114
ME
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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