Individual
FAYE B JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
392 US ROUTE 202, NORTH MONMOUTH, ME 04265
(207) 933-6813
(207) 933-6726
Mailing address
PO BOX 55, NORTH MONMOUTH, ME 04265-0055
(207) 933-6813
(207) 933-6726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP844
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022170
ANTHEM
ME
05
—
133210000
—
ME
01
—
8186582
CIGNA
ME
Enumeration date
09/25/2009
Last updated
09/25/2009
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