Donna Mackenzie
Individual provider Active NPI Speech-Language Pathologist · Kittery, ME
NPI 1154636041 · NPPES record last updated Aug 16, 2010
Key facts
- NPI
- 1154636041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1201 (ME)
- Practice address
- 200 Rogers Rd
Kittery, ME 03904-1458 - Phone
- (207) 439-1331
- Fax
- (207) 439-5407
- NPI assigned
- Aug 16, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1201 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1201 | ME | Yes |
Addresses
Primary practice location
200 Rogers Rd
Kittery, ME 03904-1458
Mailing address
200 Rogers Rd
Kittery, ME 03904-1458
Other providers in Kittery, ME
- Calvin Limberg
- Ajisa Liti
- Tyler James Lowe
- Cynthia Grace Luma
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- Carrie Ann Macleod
- Thomas Frank Marchell
- Edward A McAbee Jr.
- Lyn Norris McCann
- Tammy Jo McCauley-Masse
All providers in Kittery, ME · Speech-Language Pathologist in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.