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Organization

UNITED CEREBRAL PALSY OF NORTHEASTERN MAINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONDA MARTIN (BILLING SPECIALIST)
(207) 992-0602
Entity
Organization

Contact information

Practice address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955
Mailing address
700 MOUNT HOPE AVE, SUITE 320, BANGOR, ME 04401-5680
(207) 941-2952
(207) 941-2955

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699014241
ME
Enumeration date
02/01/2013
Last updated
09/30/2016
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