Individual
JULIEANN HEINRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
36 LORAINE ST, PORTLAND, ME 04103-4230
(207) 773-0961
Mailing address
36 LORAINE ST, PORTLAND, ME 04103-4230
(207) 773-0961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP347
ME
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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