Individual
MS. SHARON ELIZABETH SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 REPUBLIC AVE, TOPSHAM, ME 04086-1136
(207) 729-2950
(207) 729-9354
Mailing address
50 REPUBLIC AVE, TOPSHAM, ME 04086-1136
(207) 729-1557
(207) 729-9354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP761
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010283948
—
ME
Enumeration date
12/20/2010
Last updated
12/20/2010
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