Individual
MRS. CARRIE LEE ST PETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
713 MAIN ST, CARIBOU, ME 04736-4468
(207) 493-3399
(207) 493-3390
Mailing address
181 W PRESQUE ISLE RD, CARIBOU, ME 04736-4108
(207) 493-3399
(207) 493-3390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST1657
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135110000
—
ME
05
—
4318232999
—
ME
Enumeration date
05/24/2007
Last updated
08/06/2008
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