Individual
SARAMARIE REILLY PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
55 SPRING ST, SCARBOROUGH, ME 04074-8926
(207) 396-7337
(078) 854-3549
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SL009801
PA
235Z00000X
Speech-Language Pathologist
Primary
SP3030
ME
Other
Enumeration date
01/13/2010
Last updated
11/07/2019
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