Individual
MRS. AMANDA LEIGH EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
175 UNION ST, BANGOR, ME 04401
(207) 941-2850
(207) 941-2852
Mailing address
PO BOX 1599, BANGOR, ME 04402-1599
(207) 945-5247
(207) 947-0435
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AP1222
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044210
ANTHEM
ME
05
—
325670099
—
ME
Enumeration date
11/16/2006
Last updated
08/27/2015
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