Organization
SANDCASTLE PRESCHOOL PROGRAM FOUNDATION, INC
Active
Other names
Sandcastle Clinical and Educational Services, LA Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE GELINAS M.S,CCC-SLP (EXECUTIVE DIRECTOR)
(207) 782-2150
Entity
Organization
Contact information
Practice address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
(207) 782-3621
Mailing address
72 STRAWBERRY AVE, LEWISTON, ME 04240-5952
(207) 782-2150
(207) 782-3621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
231H00000X
Audiologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
215544
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040506743
ANTHEM BLUE CROSS BLUE SH
ME
05
—
130080000
—
ME
Enumeration date
03/29/2007
Last updated
06/03/2019
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