Doctor Name: | ALLISON MAZER |
NPI Number: | 1093195349 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA., CCC-SLP |
License Number: | SP2291 |
Business Practice Address: | 22 Northbrook Dr Falmouth, ME - 041051318 |
Business Phone Number: | 2077815775 |
Business Fax Number: | |
Mailing Address: | 22 Northbrook Dr, FALMOUTH |
State: | ME |
Postal Code: | 041051318 |
Phone Number: | 2077815775 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2015 |
NPI Last Update Date: | 06/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2291 |
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 |