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Individual

MRS. TINA MARIE LEIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
601 COLLEGE ST., GEIGER ELEMENTARY SCHOOL, LEWISTON, ME 04240
(207) 795-4160
(207) 782-2534
Mailing address
601 COLLEGE STREET, GEIGER ELEMENTARY SCHOOL, LEWISTON, ME 04240
(207) 795-4160
(207) 626-9357

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP1318
ME
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
249280099
ME
Enumeration date
12/14/2006
Last updated
11/11/2010
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