Individual
MS. MARYBETH DAVIS PRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
78 CEDAR ST, ROCKLAND, ME 04841-3146
(207) 208-7233
Mailing address
78 CEDAR ST, ROCKLAND, ME 04841-3146
(207) 208-7233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1303
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263810000
—
ME
Enumeration date
08/23/2010
Last updated
08/23/2010
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