Healthcare Provider Details

I. General information

NPI: 1639443708
Provider Name (Legal Business Name): HONEYBEE PEDIATRIC THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2012
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 ORCHARD ST
NORWAY ME
04268-5927
US

IV. Provider business mailing address

23 ORCHARD ST
NORWAY ME
04268-5927
US

V. Phone/Fax

Practice location:
  • Phone: 207-890-3133
  • Fax:
Mailing address:
  • Phone: 207-890-3133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA WOOD
Title or Position: PRESIDENT
Credential:
Phone: 207-890-3133