Individual
ALEXANDRA A BUSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 US ROUTE 1 STE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301
Mailing address
144 US ROUTE 1 STE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST2585
ME
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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