Individual
MRS. LYDIA ANN ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
464 MAIN ST. CENTRE, DAMARISCOTTA, ME 04543
(207) 563-1411
Mailing address
PO BOX 892, 67 BRISTOL ROAD, DAMARISCOTTA, ME 04543
(207) 563-2864
(207) 563-2864
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1081
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271760000
—
ME
Enumeration date
06/24/2009
Last updated
06/24/2009
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