Individual
KATHERINE S STINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 DEPOT RD, FALMOUTH, ME 04105-1211
(207) 781-8881
(207) 781-8855
Mailing address
PO BOX 251, ALFRED, ME 04002-0251
(207) 272-7333
(207) 253-1771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 1773
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432695999
MAINE CARE PROVIDER NUMBER
ME
01
—
SP 1773
LICENSE NUMBER
ME
Enumeration date
04/16/2009
Last updated
08/12/2010
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