Individual
COLLEEN AMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
75 W COMMERCIAL ST STE 205, PORTLAND, ME 04101-4799
(207) 974-1065
(207) 864-1068
Mailing address
75 W COMMERCIAL ST STE 205, PORTLAND, ME 04101-4799
(207) 974-1065
(207) 864-1068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 1086
ME
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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