Organization
ADAMS SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA K ADAMS (PRESIDENT)
(207) 872-5775
Entity
Organization
Contact information
Practice address
155 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-5132
(207) 872-5775
Mailing address
PO BOX 257, WATERVILLE, ME 04903-0257
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
SP1087
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135810000
—
ME
01
—
SP1087
LICENSE
ME
Enumeration date
04/13/2007
Last updated
02/09/2009
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