Individual
MRS. LYNETTE GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
235 BILLINGS RD, HERMON, ME 04401-0531
(207) 848-4000
Mailing address
PO BOX 6360, BANGOR, ME 04402-6360
(207) 848-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP788
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073735676
—
ME
Enumeration date
10/01/2010
Last updated
10/01/2010
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