Individual
ROBERTA C MACCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
75 SOUTH ST, GORHAM, ME 04038-1713
(207) 222-1100
Mailing address
387 MAIN ST, CUMBERLAND, ME 04021-3911
(207) 829-2031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP828
ME
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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