Individual
MS. JANICE JOY RAVIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
60 MABEL ST, PORTLAND, ME 04103-2515
(207) 253-5353
Mailing address
60 MABEL ST, PORTLAND, ME 04103-2515
(207) 253-5353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2612-SL
ME
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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