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Organization

NORTHERN MAINE SPEECH LANGUAGE PATHOLOGY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUANITA BRISCOE (VICE PRESIDENT)
(207) 764-4498
Entity
Organization

Contact information

Practice address
4 BLAKE ST, PRESQUE ISLE, ME 04769-2427
(207) 764-4498
(207) 764-1912
Mailing address
PO BOX 308, PRESQUE ISLE, ME 04769-0308
(207) 764-4498
(207) 764-1912

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E002965
CHAMPUS
ME
Enumeration date
02/02/2007
Last updated
08/22/2020
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