Organization
ELIZABETH G. DYER & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH G DYER CCC-SLP (MEMBER)
(207) 356-8211
Entity
Organization
Contact information
Practice address
1372 NEWBURY NECK RD, SURRY, ME 04684-3819
(207) 356-8211
Mailing address
1372 NEWBURY NECK RD, SURRY, ME 04684-3819
(207) 356-8211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP1609
ME
235Z00000X
Speech-Language Pathologist
Primary
SP796
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860000
—
ME
05
—
200860099
—
ME
05
—
279150099
—
ME
05
—
409730000
—
ME
05
—
432438099
—
ME
05
—
433695399
—
ME
Enumeration date
10/23/2006
Last updated
11/01/2009
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