Organization
AUDIOLOGY CENTER OF MAINE, LLC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARYELLEN B. TOOTHAKER MA,CCC-A (OWNER)
(207) 664-2123
Entity
Organization
Contact information
Practice address
77 BEECHLAND ROAD, ELLSWORTH, ME 04605-2639
(207) 664-2123
(207) 667-0706
Mailing address
77 BEECHLAND ROAD, ELLSWORTH, ME 04605-2639
(207) 664-2123
(207) 667-0706
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AP1053E
ME
Other
Enumeration date
04/24/2007
Last updated
11/18/2009
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