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NPI Code Detail

MEDICARE: DR. ELIZABETH ANN STRAKA PH.D., CCC-SLP

MEDICARE: DR. ELIZABETH ANN STRAKA PH.D., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP1010ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811924244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH ANN STRAKA PH.D., CCC-SLP
Provider Business Mailing Address
First Line : PO BOX 131
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-0131
Country : US
Telephone Number : 207-408-5657
Fax Number :
Provider Business Practice Location Address
First Line : 39 LIMERICK RD UNIT 6U
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8158
Country : US
Telephone Number : 207-967-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 04/19/2019

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Directions to “ DR. ELIZABETH ANN STRAKA PH.D., CCC-SLP” Practice Location

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