Amy L Bragg MA

NPI 1003989815 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1003989815
Gender Female
Enumeration Date 11/17/2006
Last Updated 03/31/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
175 UNION ST
BANGOR ME, 04401, US
Phone (207) 941-2850
Fax (207) 941-2852
Business Location
PO BOX 1599
BANGOR ME, 04402-1599, US
Phone (207) 945-5247
Fax (207) 947-0435
Toxanomy
Taxonomy Code 235Z00000X
License State Maine
License Number SP825
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According to our database, Amy L Bragg MA NPI is 1003989815, taxonomy code is 235Z00000X and license number is SP825, license state is located at Maine. Amy L Bragg MA physically located at 175 Union St, Bangor ME, 04401. NPI Number Amy L Bragg MA has the Individual type.

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1003989815 NPI number is provided on an as is basis without warranty of any kind. 1003989815 is maintained by the National Plan & Provider Enumeration System. The contents of Amy L Bragg MA are for informational purposes only.