Organization
PROJECT PEDS-CHILD DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ KEACH (DIRECTOR)
(207) 877-2498
Entity
Organization
Contact information
Practice address
163 SILVER STREET, WATERVILLE, ME 04901
(207) 877-2498
(207) 877-7459
Mailing address
163 SILVER STREET, WATERVILLE, ME 04901
(207) 877-2498
(207) 877-7459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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