Individual
SUZANNE BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 KIDS PEACE WAY, ELLSWORTH, ME 04605-3483
(207) 667-0909
Mailing address
661 LAMOINE BEACH RD, LAMOINE, ME 04605-4743
(207) 244-7161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP993
ME
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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