Jackie Ellyn Reifer MED SLPCCC

NPI 1356487235 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1356487235
Gender Female
Enumeration Date 01/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
43 BAXTER BLVD
PORTLAND ME, 04101-1823, US
Phone (207) 874-1065
Fax (207) 874-1068
Business Location
43 BAXTER BLVD
NORTHEAST HEARING & SPEECH CENTER INC
PORTLAND ME, 04101-1823, US
Phone (207) 874-1065
Fax (207) 874-1068
Toxanomy
Taxonomy Code 235Z00000X
License State Maine
License Number SP530
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According to our database, Ms. Jackie Ellyn Reifer MED SLPCCC NPI is 1356487235, taxonomy code is 235Z00000X and license number is SP530, license state is located at Maine. Jackie Ellyn Reifer MED SLPCCC physically located at 43 Baxter Blvd, Portland ME, 04101-1823. NPI Number Jackie Ellyn Reifer MED SLPCCC has the Individual type.

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1356487235 NPI number is provided on an as is basis without warranty of any kind. 1356487235 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie Ellyn Reifer MED SLPCCC are for informational purposes only.