Individual
VELDA L BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
985 SKYWAY ST, PRESQUE ISLE, ME 04769-2081
(207) 764-4490
(207) 769-2275
Mailing address
PO BOX 98, 87 HINES STREET, WASHBURN, ME 04786-0098
(207) 764-4490
(207) 769-2275
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP680
ME
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024240
ANTHEM STAR #
ME
05
—
265780099
—
ME
Enumeration date
02/02/2007
Last updated
08/29/2023
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