Individual
LISA IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
18 GROVE ST, NORWAY, ME 04268-5610
(207) 739-2242
Mailing address
18 GROVE ST, NORWAY, ME 04268-5610
(207) 739-2242
(207) 739-2466
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SAS1770
ME
Other
Enumeration date
08/17/2007
Last updated
07/10/2019
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