Doctor Name: | AMY CLAIRE REID |
NPI Number: | 1417236456 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | ST2098 |
Business Practice Address: | 118 Northport Ave Belfast, ME - 049156009 |
Business Phone Number: | 2073389349 |
Business Fax Number: | 2979302534 |
Mailing Address: | Po Box 287, 118 Northport Ave BELFAST |
State: | ME |
Postal Code: | 049150287 |
Phone Number: | 2073389349 |
Fax Number: | 2079302534 |
NPI Enumeration Date: | 08/09/2011 |
NPI Last Update Date: | 08/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ST2098 |
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 |