Individual
SUZANNE P MOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6 TELCOM DR, BANGOR, ME 04401-3072
(207) 941-2850
(207) 941-2852
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 404-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP3463
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3953
—
SC
Enumeration date
09/21/2006
Last updated
08/15/2023
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