Individual
KATIE GERRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
155 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5132
(207) 872-5775
(207) 872-6116
Mailing address
285 GRIFFIN RD, WINDSOR, ME 04363-3812
(207) 872-5775
(207) 872-5775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2187
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ST2187
TEMPORARY SPEECH LANGUAGE PATHOLOGIST LICENSE
ME
Enumeration date
07/30/2012
Last updated
07/30/2012
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