Organization
LAKES REGION PEDIATRIC SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MURPHY MS CCC-SLP (MANAGER)
(401) 835-5368
Entity
Organization
Contact information
Practice address
372 HIO RIDGE RD, BRIDGTON, ME 04009-3449
(401) 835-5368
Mailing address
372 HIO RIDGE RD, BRIDGTON, ME 04009-3449
(401) 835-5368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1919
ME
Other
Enumeration date
09/13/2011
Last updated
11/06/2024
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