Robby Joel Desjardins, SPEECH PATHOLOGIST
Individual provider Active NPI Speech-Language Pathologist · Madawaska, ME
NPI 1295948859 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1295948859
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 94 (ME)
- Practice address
- 88 Fox St
Suite 101
Madawaska, ME 04756-1352 - Phone
- (207) 728-6341
- Fax
- (207) 728-7762
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 94 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aroostook Mental Health Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 94 | ME | Yes |
Addresses
Primary practice location
88 Fox St
Suite 101
Madawaska, ME 04756-1352
Mailing address
88 Fox St
Suite 101
Madawaska, ME 04756-1352
Phone (207) 728-6341
Other providers in Madawaska, ME
- Melissa Crchova
- Curtis Cyr
- Elizabeth Demott
- Courtney A Deprey
- Sarah Deschene
- Sara Louise Desrosier
- Kelsey F Dionne
- John Philip Doucette
- Edith A. Dow
- Fish River Rural Health
All providers in Madawaska, 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 Jul 9, 2007. 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.