| Doctor Name: | MRS. KELLY PAUL |
| NPI Number: | 1407022049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A.-CCC-SLP |
| License Number: | SP812 |
| Business Practice Address: | 82 Town Farm Rd Hampden, ME - 044441039 |
| Business Phone Number: | 2078622848 |
| Business Fax Number: | |
| Mailing Address: | 82 Town Farm Rd, HAMPDEN |
| State: | ME |
| Postal Code: | 044441039 |
| Phone Number: | 2078622848 |
| Fax Number: | |
| NPI Enumeration Date: | 05/04/2008 |
| NPI Last Update Date: | 05/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0700X |
| License Number: | SP812 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Hearing and Speech |
| Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |