Individual
NANCY L GREENBLATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED CCC SLP
Contact information
Practice address
24 WEST CIR, FALMOUTH, ME 04105-1111
(207) 838-3317
Mailing address
24 WEST CIR, FALMOUTH, ME 04105-1111
(207) 838-3317
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ME255712
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0262777
ANTHEM
ME
Enumeration date
05/03/2007
Last updated
08/27/2012
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