Doctor Name: | MRS. MARY-ANNE JEAN CASTONGUAY |
NPI Number: | 1356659080 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 12092107 |
Business Practice Address: | 113 Quebec Street, W.g. Mallett School Farmington, ME - 049387039 |
Business Phone Number: | 2077783529 |
Business Fax Number: | |
Mailing Address: | 115 Learning Lane, Rsu #9 Dba Mt. Blue Regional School District FARMINGTON |
State: | ME |
Postal Code: | 049387039 |
Phone Number: | 2077789517 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2010 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12092107 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |