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NPI Code Detail

MEDICARE: MONICA LARRABEE

MEDICARE: MONICA LARRABEE
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
1235Z00000XSpeech-Language PathologistSP1751ME

General Provider Information

NPI Number : 1720393572
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA LARRABEE
Provider Business Mailing Address
First Line : 155 PARKVIEW AVE
Second Line :
City : BANGOR
State : ME
Zip : 04401-4048
Country : US
Telephone Number : 207-945-0156
Fax Number :
Provider Business Practice Location Address
First Line : 1 MAIN RD N
Second Line :
City : HAMPDEN
State : ME
Zip : 04444-1334
Country : US
Telephone Number : 207-862-3791
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2010
Last Update Date : 08/17/2010

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Directions to “ MONICA LARRABEE ” Practice Location

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