Individual
BETHANY CHERNOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 WAVERLY ST, PORTLAND, ME 04103-3313
(207) 266-4986
Mailing address
21 WAVERLY ST, PORTLAND, ME 04103-3313
(207) 266-4986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1835
ME
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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