| Holly Knotowicz, SLP | |
|
50 Foden Rd, South Portland, ME 04106-1718 | |
| (207) 780-8860 | |
| (207) 523-8584 |
| Full Name | Holly Knotowicz |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 50 Foden Rd, South Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306260237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0051 (Colorado) | Secondary |
| 235Z00000X | Speech-language Pathologist | SP3359 (Maine) | Primary |
| Provider Name | Intermed Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467422733 PECOS PAC ID: 5092605261 Enrollment ID: O20040319000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Knotowicz, SLP 100 Gannett Dr Ste C, South Portland, ME 04106-5900 Ph: (207) 828-0361 | Holly Knotowicz, SLP 50 Foden Rd, South Portland, ME 04106-1718 Ph: (207) 780-8860 |
Susan Bahadori, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 341 Highland Ave # 1, South Portland, ME 04106 Phone: 301-802-8342 | |
Paige Elizabeth St. Germain, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-799-5196 | |
Nancy Entwistle, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland School Department, South Portland, ME 04106 Phone: 207-871-0555 Fax: 207-871-0559 | |
Rachel Gips, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 52 Alfred St, South Portland, ME 04106 Phone: 207-799-4845 | |
Robin G Thomas, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 341 Pine St, South Portland, ME 04106 Phone: 207-871-1205 Fax: 207-871-1237 | |
Jennifer Hobbs, M.S. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 130 Wescott Rd, South Portland, ME 04106 Phone: 207-871-0555 | |
Madison Speech Methods Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Bennett St, South Portland, ME 04106 Phone: 207-730-0850 |