Seaside Healthcare Llc in Portland - Speech-language Pathologist
Seaside Healthcare Llc - NPI 1902893555
Seaside Healthcare Llc is a Speech-language Pathologist in Portland, Maine. Seaside Healthcare Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Seaside Healthcare Llc is 1902893555. The last update date is 2009-05-20.
Seaside Healthcare Llc's current location address is 850 Baxter Blvd, Portland, Maine. You can contact this provider via phone number 2077747878 and fax number 2077752811. The mailing address for Seaside Healthcare Llc is 850 Baxter Blvd, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Seaside Healthcare Llc |
|---|---|
| Address | 850 Baxter Blvd, Portland, Maine |
| Phone Number | 2077747878 |
| Fax Number | 2077752811 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Bowden Kenneth |
| Telephone Number | 2078742700 |
NPI Number Detail
| NPI Number | 1902893555 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2009-05-20 |
Provider Mailing Address Detail
| Address | 850 Baxter Blvd |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 41034901 |
| Phone Number | 2077747878 |
| Fax Number | 2077752811 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 36297 |
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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 |
|---|---|---|---|
| 130930000 | ME | -- | |
| 13093001 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Seaside Healthcare Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Seaside Healthcare Llc has been assigned the NPI (National Provider Identifier) 1902893555. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Seaside Healthcare Llc is physically located?
The Seaside Healthcare Llc is situated at the following address: 850 Baxter Blvd, Portland, ME 41034901.
What is Seaside Healthcare Llc's area of expertise and its corresponding taxonomy classification?
The Seaside Healthcare Llc's field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Seaside Healthcare Llc receive the assignment of its 1902893555 from the Centers for Medicare & Medicaid Services?
The Seaside Healthcare Llc was issued its 1902893555 by the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information related to Seaside Healthcare Llc most recently updated or refreshed?
The details pertaining to the Seaside Healthcare Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-05-20.
NPI Number: 1356344279
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