Organization
GREAT SCOTT AUDIOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTIN R RICHARDS AU.D. (AUDIOLOGIST/PRESIDENT)
(207) 729-4086
Entity
Organization
Contact information
Practice address
331 MAINE ST, SUITE 4, BRUNSWICK, ME 04011-3358
(207) 729-4086
(207) 449-1193
Mailing address
331 MAINE ST, SUITE 4, BRUNSWICK, ME 04011-3358
(207) 729-4086
(207) 449-1193
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP1273
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273250099
—
ME
Enumeration date
04/11/2011
Last updated
05/31/2011
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