CARLY DAWN PELLETIER


Address: 799 Hancock St, Rumford, ME 04276-1547
Phone: 2073695560

CARLY DAWN PELLETIER (NPI# 1013342682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013342682
Entity Type Individual
Full Name CARLY DAWN PELLETIER
Credential SLPA
Practice Address 799 Hancock St
Rumford
ME 04276-1547
Practice Telephone 2073695560
Mailing Telephone 2073695560
Enumeration Date 2013-09-13
Last Update Date 2019-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
SAS2284 ME Speech, Language and Hearing Service Providers

Office Location

Street Address 799 HANCOCK ST
City RUMFORD
State ME
Zip Code 04276-1547

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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1891247953 Emily Elizabeth Normandin Specialist/Technologist 116 Middle St, Farmington, ME 04938-1534 2016-10-25
1457754889 Meagan Valles Specialist/Technologist 529 Files Hill Rd, Thorndike, ME 04986-3112 2014-09-30
1205238813 Marie-anne White Specialist/Technologist 3 Old County Rd, Lisbon, ME 04250-6214 2014-09-25
1477824555 Amber Taylor Specialist/Technologist 91 Camden St Ste 108, Rockland, ME 04841-2430 2012-01-20
1992088728 Susan Martins Specialist/Technologist 72 Strawberry Ave., Lewiston, ME 04240 2011-09-28
1396035531 Sandra L. Welch Specialist/Technologist 285 Benton Ave., Winslow, ME 04901-3004 2011-04-08
1356630016 Shannon Huckaby Specialist/Technologist 30 Libby St, Portland, ME 04103-1925 2011-04-04
1730488636 Christine M Fournier Specialist/Technologist 143 Mt Tom Rd, Pembroke, ME 04666-4702 2011-03-18
1992003222 Rhonnie Gardner Specialist/Technologist 16 Great Works Rd, Edmunds Twp, ME 04628-5200 2011-03-10
1538462270 Kelly Jean Mason Specialist/Technologist 6 1/2 Beech St, East Millinocket, ME 04430-1152 2010-12-20
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Competitor

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City RUMFORD
Zip Code 04276

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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