| Ms Madeline Jayne Moulton, SLP | |
|
4 Shape Dr, Kennebunk, ME 04043-6760 | |
| (207) 662-5143 | |
| (207) 661-8104 |
| Full Name | Ms Madeline Jayne Moulton |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4 Shape Dr, Kennebunk, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538818596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP4319 (Maine) | Primary |
| 235Z00000X | Speech-language Pathologist | 78351-SP-SL (Massachusetts) | Secondary |
| Provider Name | Mainehealth |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Madeline Jayne Moulton, SLP 4 Shape Dr, Kennebunk, ME 04043-6760 Ph: (207) 662-5143 | Ms Madeline Jayne Moulton, SLP 4 Shape Dr, Kennebunk, ME 04043-6760 Ph: (207) 662-5143 |
Alla Johnson, SLP/CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3 Brazier Ln, Kennebunk, ME 04043 Phone: 207-985-3030 | |
Ms. Johanna Lee Gilland, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 79 Cat Mousam Rd, Kennebunk, ME 04043 Phone: 207-985-3030 | |
Ellen Elizabeth Stone Benson, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 79 Cat Mousam Rd, Kennebunk, ME 04043 Phone: 207-985-3030 | |
Mrs. Megan Elise Jackins, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 89 Fletcher St, Kennebunk, ME 04043 Phone: 207-985-1110 | |
Penelope Pollard, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3 Brazier Ln, Kennebunk, ME 04043 Phone: 207-985-3030 | |
Mrs. Molly Camp Joyce, MS-CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 158 Ross Rd, Kennebunk, ME 04043 Phone: 207-604-7115 | |
Saco Bay Orthopaedic And Sports Physical Therapy, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 65 Portland Rd Unit B, Kennebunk, ME 04043 Phone: 207-849-5041 |