Organization
HILLSIDE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI EVENSON CCC-SLP (SPEECH PATHOLOGIST, OWNER)
(207) 218-2116
Entity
Organization
Contact information
Practice address
67 FOX LN, EDDINGTON, ME 04428-3104
(207) 218-2116
(207) 466-1029
Mailing address
67 FOX LN, EDDINGTON, ME 04428-3104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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