| Organization Name: | NORTHERN MAINE SPEECH LANGUAGE PATHOLOGY SERVICES, INC. |
| NPI Number: | 1801934534 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUANITA BRISCOE (VICE PRESIDENT) |
| Mailing Address: | 4 Blake St Presque Isle |
| State: | ME US |
| Postal Code: | 047692427 |
| Phone Number: | 2077644498 |
| Fax Number: | 2077641912 |
| NPI Enumeration Date: | 02/02/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| 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 |