Individual
KIMBERLY BAUERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
75 W COMMERCIAL ST, SUITE 205, PORTLAND, ME 04101-4797
(207) 797-8255
(207) 797-5560
Mailing address
75 W COMMERCIAL ST, SUITE 205, PORTLAND, ME 04101-4797
(207) 797-8255
(207) 797-5560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2077
ME
Other
Enumeration date
02/15/2011
Last updated
01/08/2013
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