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Individual

MRS. MARYBETH STOUT ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCCSLP

Contact information

Practice address
5724 DUNN HALL, ROOM 336 UNIVERSITY OF MAINE, ORONO, ME 04469-5724
(207) 581-2403
(207) 581-2060
Mailing address
5724 DUNN HALL, ROOM 336, UNIVERSITY OF MAINE, ORONO, ME 04469-5724
(207) 581-2403
(207) 581-2060

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP618
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011088
ANTHEM BCBS
ME
01
038288
ANTHEM BCBS
ME
05
227430000
ME
05
227430099
ME
01
AA24460
HARVARD PILGRIM
Enumeration date
12/06/2006
Last updated
02/27/2012
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