Individual
LUCIA REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
314 BLANCHARD RD, CUMBERLAND, ME 04021-3209
(207) 829-4656
Mailing address
314 BLANCHARD RD, CUMBERLAND, ME 04021-3209
(207) 829-4656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1070
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042865
ANTHEM INSURANCE
ME
Enumeration date
07/01/2006
Last updated
07/09/2007
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