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Individual

MS. SUZANNE VOTH SYLVESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
144 US ROUTE 1, SUITE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301
Mailing address
144 US ROUTE 1, SUITE 4, SCARBOROUGH, ME 04074-7219
(207) 219-8300
(207) 219-8301

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1227
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23409000
ME
01
E100281935
MEDICARE PTAN
ME
Enumeration date
06/25/2007
Last updated
09/07/2016
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