Maine Mobile Diagnostics INC
Speech-Language Pathologist, in South Portland, ME. Organization (NPI-2).
NPI number1265065833
StatusActive
Last updated in NPPESFeb 21, 2020
Details
- NPI
- 1265065833
- Entity type
- Organization (NPI-2)
- Legal business name
- Maine Mobile Diagnostics INC
- Organization subpart
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
8 Tremont StSouth Portland, ME 04106-6129
Phone 845-897-3330 · Fax 845-897-3753
Mailing address
1032 Main StFishkill, NY 12524-3503
Phone 845-897-3330
Authorized official
Amanda Guida
Office Manager
8458973330
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