Doctor Name: | ANDREA SIMONEAU |
NPI Number: | 1902001977 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP1132 |
Business Practice Address: | 39 Limerick Rd Arundel, ME - 040468158 |
Business Phone Number: | 2079857861 |
Business Fax Number: | 2079856703 |
Mailing Address: | 39 Limerick Rd, ARUNDEL |
State: | ME |
Postal Code: | 040468158 |
Phone Number: | 2079857861 |
Fax Number: | 2079856703 |
NPI Enumeration Date: | 06/19/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP1132 |
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 |