Individual
JACLYN WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
15 ANCHOR DR, ROCKPORT, ME 04856-3846
(207) 301-6374
Mailing address
222 LINCOLNVILLE AVE, BELFAST, ME 04915-7411
(518) 703-4856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ST4176
ME
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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