Judy Lucile Mackenzie-laxague SPEECH PATHOLOGIST

NPI 1346429693 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1346429693
Gender Female
Enumeration Date 11/02/2007
Last Updated 11/02/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
65 WASHINGTON AVE
PORTLAND ME, 04101-2617, US
Phone (207) 615-5791
Fax (207) 885-5791
Business Location
12 ABIGAIL WAY
SCARBOROUGH ME, 04074-8246, US
Phone (207) 885-5791
Fax (207) 885-5791
Toxanomy
Taxonomy Code 235Z00000X
License State Maine
License Number SPA 723
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According to our database, Mrs. Judy Lucile Mackenzie-laxague SPEECH PATHOLOGIST NPI is 1346429693, taxonomy code is 235Z00000X and license number is SPA 723, license state is located at Maine. Judy Lucile Mackenzie-laxague SPEECH PATHOLOGIST physically located at 65 Washington Ave, Portland ME, 04101-2617. NPI Number Judy Lucile Mackenzie-laxague SPEECH PATHOLOGIST has the Individual type.

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1346429693 NPI number is provided on an as is basis without warranty of any kind. 1346429693 is maintained by the National Plan & Provider Enumeration System. The contents of Judy Lucile Mackenzie-laxague SPEECH PATHOLOGIST are for informational purposes only.