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Individual

ELIZABETH G. DYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
1372 NEWBURY NECK RD, SURRY, ME 04684-3819
(207) 356-8211
Mailing address
1372 NEWBURY NECK RD., SURRY, ME 04684
(207) 356-8211

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SP796
ME
235Z00000X
Speech-Language Pathologist
Primary
SP796
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060791
ANTHEM BCBS
ME
Enumeration date
08/13/2007
Last updated
08/13/2007
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