Keli Marie Stander in Portland - Speech-language Pathologist
Keli Marie Stander - NPI 1609912575
Keli Marie Stander is a Speech-language Pathologist in Portland, Maine. Keli Marie Stander practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Keli Marie Stander is 1609912575. The last update date is 2007-07-08.
Keli Marie Stander's current location address is 43 Baxter Blvd, Portland, Maine. You can contact this provider via phone number 2078741065 and fax number 2078741068. The mailing address for Keli Marie Stander is 43 Baxter Blvd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keli Marie Stander |
|---|---|
| Address | 43 Baxter Blvd, Portland, Maine |
| Phone Number | 2078741065 |
| Fax Number | 2078741068 |
| Sole Proprietor | N |
| Credentials | MA CCCSLP |
NPI Number Detail
| NPI Number | 1609912575 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 43 Baxter Blvd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41011823 |
| Phone Number | 2078741065 |
| Fax Number | 2078741068 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | JP1611 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 61616 | ME | ANTHEM BCBS |
Post Comment/ Review Below
What is the Keli Marie Stander's unique identification number?
The Keli Marie Stander has been assigned the NPI (National Provider Identifier) Number 1609912575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Keli Marie Stander?
The Keli Marie Stander is physically situated at 43 Baxter Blvd, in the city of Portland, state of ME, with the postal code 41011823.
What is Keli Marie Stander's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keli Marie Stander is Speech-language Pathologist, and the taxonomy code that classifies this field of practice is 235Z00000X.
On what date did the Keli Marie Stander receive the assignment of its 1609912575 from the Centers for Medicare & Medicaid Services?
The Keli Marie Stander was issued its 1609912575 by the Centers for Medicare & Medicaid Services on 2007-01-29.
When was the Keli Marie Stander's information last updated?
The Keli Marie Stander's information was last updated on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN