MEDICARE: TOWN OF CASWELL

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1598092116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF CASWELL

Provider Business Mailing Address
First Line	:	1025 VAN BUREN RD
Second Line	:
City	:	CASWELL
State	:	ME
Zip	:	04750-3204
Country	:	US
Telephone Number	:	207-325-4611
Fax Number	:	207-325-3371

Provider Business Practice Location Address
First Line	:	1025 VAN BUREN RD
Second Line	:
City	:	CASWELL
State	:	ME
Zip	:	04750-3204
Country	:	US
Telephone Number	:	207-325-4611
Fax Number	:	207-325-3371

Authorized Official
Title or Position	:	SECRETARY
Name	:	NANCY THERESA MARTIN
Credential	:
Telephone Number	:	207-325-4611

Provider Enumeration Date	:	11/04/2009
Last Update Date	:	06/03/2019

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Directions to “TOWN OF CASWELL ” Practice Location

Language	Start Address	Practice Location

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