Healthcare Provider Details

I. General information

NPI: 1760060271
Provider Name (Legal Business Name): STEP STONE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 BENSTONE RD
HEBRON ME
04238-3309
US

IV. Provider business mailing address

38 BENSTONE RD
HEBRON ME
04238-3309
US

V. Phone/Fax

Practice location:
  • Phone: 207-446-5452
  • Fax:
Mailing address:
  • Phone: 603-685-1886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ELEANOR PIKE
Title or Position: PARTNERSHIP OWNER, SPEECH PATHOLOGI
Credential: M.A., CCC-SLP
Phone: 207-446-5452