Organization
NORTHEAST HEARING AND SPEECH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON GARRETT (CEO)
(207) 874-1065
Entity
Organization
Contact information
Practice address
75 W COMMERCIAL ST, PORTLAND, ME 04101-4797
(207) 874-1065
(207) 874-1068
Mailing address
75 W COMMERCIAL ST, PORTLAND, ME 04101-4797
(207) 874-1065
(207) 874-1068
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102390000
—
ME
01
—
1041149
AETNA HEALTH INSURANCE
ME
01
—
613386
TUFTS
ME
01
—
MN2657
HARVARD PILGRIM
ME
Enumeration date
07/11/2007
Last updated
12/19/2024
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