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NPI Code Detail

MEDICARE: KAREN E. DOE M.S., CCC-SLP

MEDICARE: KAREN E. DOE M.S., CCC-SLP
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 PathologistSP1539ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2061341OTHERMEANTHEM BLUE CROSS AND BLU

General Provider Information

NPI Number : 1841309861
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN E. DOE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 39 LIMERICK RD UNIT 1G
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8158
Country : US
Telephone Number : 207-985-7861
Fax Number : 207-785-6703
Provider Business Practice Location Address
First Line : 39 LIMERICK RD UNIT 1G
Second Line :
City : ARUNDEL
State : ME
Zip : 04046-8158
Country : US
Telephone Number : 207-985-7861
Fax Number : 207-785-6703
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 09/07/2023

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Directions to “ KAREN E. DOE M.S., CCC-SLP” Practice Location

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