Individual
TERRI W BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7 GILMAN STREET, 7 GILMAN STREET, MARS HILL, ME 04758-0332
(207) 425-1066
Mailing address
PO BOX 332, 7 GILMAN STREET, MARS HILL, ME 04758-0332
(207) 429-9639
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 676
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025729
BCBS PROVIDER NUMBER
ME
05
—
132570000
—
ME
05
—
132570099
—
ME
01
—
2218331
AETNA PROVIDER NUMBER
ME
Enumeration date
06/27/2007
Last updated
08/10/2010
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