Marjorie Childs

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP871 Issued in ME

Practice address

763 Lakeview Dr
China, ME 04358-4301

Phone

(207) 445-1550

NPI assigned

Nov 9, 2010

Last updated

Nov 9, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1083915987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HEATH ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634901",
            "telephone_number": "207-465-2435",
            "fax_number": "207-465-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 LAKEVIEW DR",
            "city": "CHINA",
            "state": "ME",
            "postal_code": "043584301",
            "telephone_number": "207-445-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "MARJORIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rikki Bryant
• Derek Derose
• Derek Wayne Fennell, RRT
• Hannaford Bros Co LLC (Hannaford Supermarket & Pharmacy)
• Mary Mandico Kealey
• Helen Magee, SPEECH ASSISTANT

• Speech-Language Pathologist in China, ME
• Providers in China, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.