Doctor Name: | PAIGE ANNE LANE |
NPI Number: | 1427363548 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | SP1264 |
Business Practice Address: | 210 14th St Bangor, ME - 04401 |
Business Phone Number: | 2079453254 |
Business Fax Number: | |
Mailing Address: | 210 14th St, BANGOR |
State: | ME |
Postal Code: | 044014446 |
Phone Number: | 2079453254 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2010 |
NPI Last Update Date: | 08/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1264 |
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 |