Doctor Name: | MRS. ANN RITA SMITH |
NPI Number: | 1003952987 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCCSLP |
License Number: | SP1027 |
Business Practice Address: | 75 W Commercial St Ste 205 Northeast Hearing And Speech Ctr Inc Portland, ME - 041014797 |
Business Phone Number: | 2078741065 |
Business Fax Number: | 2078741068 |
Mailing Address: | 75 W Commercial St, Ste 205 Northeast Hearing And Speech Ctr Inc PORTLAND |
State: | ME |
Postal Code: | 041014797 |
Phone Number: | 2078741065 |
Fax Number: | 2078741068 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |