| Doctor Name: | MARY M CALLOW |
| NPI Number: | 1326193111 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | ME260700 |
| Business Practice Address: | 190 Bangor Rd Suite A Ellsworth, ME - 046053258 |
| Business Phone Number: | 2076677108 |
| Business Fax Number: | 2076640461 |
| Mailing Address: | 853 Newbury Neck Rd, SURRY |
| State: | ME |
| Postal Code: | 046843710 |
| Phone Number: | 2076671740 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | ME260700 |
| 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 |