Doctor Name: | EILEEN BAYER |
NPI Number: | 1083788061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | SP 1272 |
Business Practice Address: | 1 Va Ctr Augusta, ME - 043306719 |
Business Phone Number: | 2076238411 |
Business Fax Number: | 2076215728 |
Mailing Address: | 135 Eastmont Sq, FARMINGTON |
State: | ME |
Postal Code: | 049387023 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP 1272 |
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 |