Individual
MELISSA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
587 OCEAN AVE, PORTLAND, ME 04103-2701
(207) 871-1582
Mailing address
20 GARFIELD ST APT 4A, SACO, ME 04072-2408
(207) 299-2867
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2668
ME
Other
Enumeration date
08/23/2016
Last updated
09/13/2018
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