Individual
MARYELLEN B. TOOTHAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,CCC-A
Contact information
Practice address
77 BEECHLAND RD, ELLSWORTH, ME 04605-2539
(207) 664-2123
(207) 667-0706
Mailing address
77 BEECHLAND RD, ELLSWORTH, ME 04605-2539
(207) 664-2123
(207) 667-0706
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP1053
ME
Other
Enumeration date
09/25/2006
Last updated
12/16/2009
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