MEDICARE: JUDITH L SMITH 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
1	235Z00000X	Speech-Language Pathologist	SP1536	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	061365	OTHER	ME	ANTHEM BLUE CROSS AND BLU
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871609776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH L SMITH M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	10 JESSE CIR
Second Line	:
City	:	SANFORD
State	:	ME
Zip	:	04073-6136
Country	:	US
Telephone Number	:	207-651-3574
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 LIMERICK RD
Second Line	:
City	:	ARUNDEL
State	:	ME
Zip	:	04046-8158
Country	:	US
Telephone Number	:	207-496-9841
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	09/08/2023

Similar Medicare Providers

1811924244 — DR. ELIZABETH ANN STRAKA PH.D., CCC-SLP
Practice Location Address:

39 LIMERICK RD UNIT 6U
ARUNDEL, ME
04046-8158

Practice Phone: 207-967-1000
Practice Fax:

1265442008 — MRS. KELLY WEBER OTR/L
Practice Location Address:

39 LIMERICK RD
ARUNDEL, ME
04046-8158

Practice Phone: 207-985-7861
Practice Fax:

1841309861 — KAREN E. DOE M.S., CCC-SLP
Practice Location Address:

39 LIMERICK RD UNIT 1G
ARUNDEL, ME
04046-8158

Practice Phone: 207-985-7861
Practice Fax: 207-785-6703

1447339841 — SUZANNE D. ELCIK OTR/L
Practice Location Address:

39 LIMERICK RD
ARUNDEL, ME
04046-8158

Practice Phone: 207-985-7861
Practice Fax: 207-985-6703

1649330754 — MS. MICHELE LYNN LANDRY OTR
Practice Location Address:

39 LIMERICK RD
ARUNDEL, ME
04046-8158

Practice Phone: 207-423-8754
Practice Fax:

1760528566 — MRS. JENNIFER PERT RUSSO MA CCCSLP
Practice Location Address:

39 LIMERICK RD
ARUNDEL, ME
04046-8158

Practice Phone: 207-391-0331
Practice Fax: 207-985-6703

Directions to “ JUDITH L SMITH M.S., CCC-SLP” 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 © 2007-2025 (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.