Individual
LAURA HALL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
Mailing address
415 RODMAN RD, AUBURN, ME 04210-3942
(207) 376-3022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1006
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432708099
—
ME
Enumeration date
04/14/2008
Last updated
03/17/2018
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