Individual
TARA KNAPP ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
155 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5132
(207) 872-5775
(207) 872-6116
Mailing address
PO BOX 257, WATERVILLE, ME 04903-0257
(207) 872-5775
(207) 872-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201990199
—
ME
Enumeration date
03/10/2009
Last updated
03/10/2009
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