Individual
SALLY PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
434 WEBBS MILLS RD, RAYMOND, ME 04071-6320
(207) 655-8672
(207) 655-8664
Mailing address
434 WEBBS MILLS RD, RAYMOND, ME 04071-6320
(207) 655-8672
(207) 655-8664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP892
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045001
ANTHEM BLUE CROSS AND BLU
ME
05
—
267250099
—
ME
Enumeration date
09/25/2006
Last updated
09/27/2010
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