Dana M Haddad, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Fairfield, ME

NPI 1306141007 · NPPES record last updated Jul 10, 2019

Key facts

NPI
1306141007
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP2010 (ME)
Practice address
95 Skowhegan Rd
Fairfield, ME 04937-3479
Phone
(207) 453-1330
NPI assigned
Jan 11, 2011
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP2010MEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP2010 ME Yes

Addresses

Primary practice location

95 Skowhegan Rd
Fairfield, ME 04937-3479

Mailing address

444 Ward Hill Rd
Troy, ME 04987-3026
Phone (207) 570-6320

Other practice location 1

587 N Deer Isle Rd
Deer Isle, ME 04627-3438
Phone (207) 348-2351

Other names

  • Ms. Dana M Smith Former name

Other providers in Fairfield, ME

All providers in Fairfield, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.