Organization
SOUTHERN MAINE SPEECH & LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE BILLINGTON M.S. CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(207) 893-1599
Entity
Organization
Contact information
Practice address
32 TANDBERG TRL UNIT 7, WINDHAM, ME 04062-6417
(207) 893-1599
(207) 591-4636
Mailing address
32 TANDBERG TRL UNIT 7, WINDHAM, ME 04062-6417
(207) 893-1599
(207) 591-4636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP860
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023123601
INDIVIDUAL NPI
—
05
—
133870000
—
ME
Enumeration date
04/06/2009
Last updated
02/10/2012
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