Individual
DEBRA E. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 874-1065
(207) 874-1068
Mailing address
43 BAXTER BLVD, PORTLAND, ME 04101-1823
(207) 874-1065
(207) 874-1068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1589
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431973199
—
ME
Enumeration date
05/02/2007
Last updated
09/15/2008
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