Portland Pediatric Speech Therapy
NPI #1164966529 in South Portland, Maine
Provider Information
- NPI Number
- 1164966529
- Entity Type
- Organization
- Organization Name
- Portland Pediatric Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Dec 5, 2016
- Last Updated
- Dec 5, 2016
Practice Location
- Address
- 341 HIGHLAND AVE # 1
- City
- South Portland
- State
- Maine
- ZIP Code
- 04106-4510
- Phone
- (301) 802-8342
Authorized Official
- Name
- SUSAN BAHADORI, M.A., CCC-SLP
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (301) 802-8342
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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