Doctor Name: | JESSICA A WINCHESTER |
NPI Number: | 1033424015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | ME DOE 419283 |
Business Practice Address: | 335 Hill St Biddeford, ME - 040053931 |
Business Phone Number: | 2072828280 |
Business Fax Number: | |
Mailing Address: | 138 Farview Dr, SANFORD |
State: | ME |
Postal Code: | 040734211 |
Phone Number: | 2074321939 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ME DOE 419283 |
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 |