Doctor Name: | MRS. MARY CLARE CLIFFORD |
NPI Number: | 1316068588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC/SLP |
License Number: | SP966 |
Business Practice Address: | 18 Grove Street Ot To Play Norway, ME - 04268 |
Business Phone Number: | 2077392242 |
Business Fax Number: | 2077392466 |
Mailing Address: | Po Box 51, Ot To Play WEST PARIS |
State: | ME |
Postal Code: | 04289 |
Phone Number: | 2077392242 |
Fax Number: | 2077392466 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 04/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP966 |
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 |