Organization
THE SLP BY THE SEA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISHA SHERYL GAGNON MA, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(207) 699-9132
Entity
Organization
Contact information
Practice address
38 SHADAGEE RD, SACO, ME 04072-2478
(207) 699-9132
Mailing address
38 SHADAGEE RD, SACO, ME 04072-2478
(207) 699-9132
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639571334
—
ME
Enumeration date
07/06/2021
Last updated
07/06/2021
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