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Individual

KATHRYN E. PENGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SP

Contact information

Practice address
53 CALEB ST, PORTLAND, ME 04102-2235
(207) 939-7162
Mailing address
53 CALEB ST, PORTLAND, ME 04102-2235
(207) 939-7162

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1827
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102560200
ME
01
433023799
MAINE CARE
ME
Enumeration date
04/16/2007
Last updated
10/29/2025
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