Individual
ALEXIS SUGRUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CHESTNUT ST UNIT 302, PORTLAND, ME 04101-6213
(401) 644-0840
Mailing address
75 CHESTNUT ST UNIT 302, PORTLAND, ME 04101-6213
(401) 644-0840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2221
HI
235Z00000X
Speech-Language Pathologist
Primary
SP4549
ME
Other
Enumeration date
05/03/2024
Last updated
04/27/2026
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