Healthcare Provider Details

I. General information

NPI: 1245157262
Provider Name (Legal Business Name): SAMUEL CARTWRIGHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

469 MAIN ST STE 102
SPRINGVALE ME
04083-1870
US

IV. Provider business mailing address

37 HIGH ST UNIT A
SANFORD ME
04073-2712
US

V. Phone/Fax

Practice location:
  • Phone: 207-324-2888
  • Fax:
Mailing address:
  • Phone: 207-324-2888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP4667
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: