Organization
UNIVERSITY OF MAINE
Active
Other names
Conley Speech Language and Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET ELLEN WALDROM BA (VICE PRESIDENT FOR ADMINISTRATION A)
(207) 581-1541
Entity
Organization
Contact information
Practice address
5724 DUNN HALL, ROOM 336 UNIVERSITY OF MAINE, ORONO, ME 04469-5724
(207) 581-2006
(207) 581-2060
Mailing address
336 DUNN HALL, ORONO, ME 04469-5724
(207) 581-2006
(207) 581-2060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2210881
AETNA
ME
01
—
626492
HARVARD PILGRIM
ME
Enumeration date
09/17/2007
Last updated
09/17/2007
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