DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STOREYSMITH PEDIATRIC CLINIC

MEDICARE: STOREYSMITH PEDIATRIC CLINIC
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 PathologistSP667ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760600803
Entity Type Code : Organization
Provider Name (Legal Business Name) : STOREYSMITH PEDIATRIC CLINIC
Provider Business Mailing Address
First Line : 85 MIDDLE RD
Second Line :
City : CUMBERLAND
State : ME
Zip : 04021-3707
Country : US
Telephone Number : 207-829-8007
Fax Number : 207-829-8008
Provider Business Practice Location Address
First Line : 85 MIDDLE RD
Second Line :
City : CUMBERLAND
State : ME
Zip : 04021-3707
Country : US
Telephone Number : 207-829-8007
Fax Number : 207-829-8008
Authorized Official
Title or Position : DIRECTOR
Name : JAIME STOREYSMITH
Credential : OT
Telephone Number : 207-829-8007
Provider Enumeration Date : 04/23/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1659424380 — MRS. JAIME STOREY KIESOW OTR/L
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008
1427103191 — STEPHANIE SOKUL OT
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008
1083836548 — BETH ELLSWORTH M.A., CCC, SLP
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008
1871765123 — STOREYSMITH PEDIATRIC CLINIC
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008
1760656482 — JUDITH WUORIO SLP
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008
1245484559 — HOLLY ST. ONGE OTR/L
Practice Location Address:
85 MIDDLE RD
CUMBERLAND, ME
04021-3707
Practice Phone: 207-829-8007
Practice Fax: 207-829-8008

Directions to “STOREYSMITH PEDIATRIC CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.