Individual
MRS. KELLY PAUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.-CCC-SLP
Contact information
Practice address
82 TOWN FARM RD, HAMPDEN, ME 04444-1039
(207) 862-2848
Mailing address
82 TOWN FARM RD, HAMPDEN, ME 04444-1039
(207) 862-2848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP812
ME
261QH0700X
Hearing and Speech Clinic/Center
SP812
ME
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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