Healthcare Provider Details

I. General information

NPI: 1538704044
Provider Name (Legal Business Name): RED MAPLE AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2019
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 COBBLESTONE DR UNIT 10
TURNER ME
04282-3290
US

IV. Provider business mailing address

10 BUSINESS PKWY STE 1
TURNER ME
04282-4070
US

V. Phone/Fax

Practice location:
  • Phone: 207-224-0222
  • Fax: 207-224-0040
Mailing address:
  • Phone: 207-224-0222
  • Fax: 207-250-4825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEE HARRINGTON VANDIVER
Title or Position: OWNER/AUDIOLOGIST
Credential: AU.D.
Phone: 207-224-0222