Individual
CHERYL WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
177 ALEWIVE RD, KENNEBUNK, ME 04043-6101
(207) 985-2383
Mailing address
177 ALEWIVE RD, KENNEBUNK, ME 04043-6101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP744
STATE LICENSURE
ME
Enumeration date
08/11/2010
Last updated
08/11/2010
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