Individual
JEANNE SHUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
166 CEDAR BREEZE S, GLENBURN, ME 04401-1731
(207) 991-4010
Mailing address
166 CEDAR BREEZE S, GLENBURN, ME 04401-1731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP632
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169460000
—
ME
Enumeration date
04/29/2009
Last updated
04/29/2009
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