Individual
MR. ADAM ERIC HEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
618 MAIN STREET, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Mailing address
PO BOX 8600, PORTLAND, ME 04104
(207) 774-6323
(207) 761-8460
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1581
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100031
ANTHEM
—
Enumeration date
05/02/2007
Last updated
07/08/2007
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