Individual
ANNA BELLE STODDARD FOREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
222 AUBURN ST., PORTLAND, ME 04103-6004
(207) 797-8255
(207) 797-5560
Mailing address
123 CHESTERBOOK LN, LEXINGTON, SC 29072
(860) 919-0732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6885
SC
235Z00000X
Speech-Language Pathologist
Primary
ST1692
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432352099
—
ME
Enumeration date
10/12/2006
Last updated
11/04/2021
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