| Lakes Region Pediatric Speech Services | |
|
372 Hio Ridge Rd, Bridgton, ME 04009-3449 | |
| (401) 835-5368 | |
| Not Available |
| Full Name | Lakes Region Pediatric Speech Services |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 372 Hio Ridge Rd, Bridgton, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407138613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP1919 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakes Region Pediatric Speech Services 372 Hio Ridge Rd, Bridgton, ME 04009-3449 Ph: (401) 835-5368 | Lakes Region Pediatric Speech Services 372 Hio Ridge Rd, Bridgton, ME 04009-3449 Ph: (401) 835-5368 |
Kaitlynn Raye, MS. SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6145 | |
Charles D Burnette, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 Hospital Dr, Bridgton, ME 04009 Phone: 207-647-6000 Fax: 207-647-6065 |