Mary-Anne Jean Castonguay, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1206 Issued in ME

Practice address

113 Quebec Street, W.G. Mallett School
Farmington, ME 04938-7039

Phone

(207) 778-3529

NPI assigned

Sep 15, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1356659080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 LEARNING LANE",
            "address_2": "RSU #9 DBA MT. BLUE REGIONAL SCHOOL DISTRICT",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049387039",
            "telephone_number": "207-778-9517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 QUEBEC STREET, W.G. MALLETT SCHOOL",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049387039",
            "telephone_number": "207-778-3529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTONGUAY",
        "first_name": "MARY-ANNE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1206",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "12092107",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION",
            "identifier": "LICENSE NUMBER: 1209",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE, BOARD OF SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "SP1206",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter S. Campion, M.D.
• Meghan Carroll, PT
• Tobin Moon Carson, D.O.
• Joseph David Caruso, MD
• Jennifer Cassidy, R.D.H.
• Dean A Chancey, D.C.
• Joanne A Chancey, D.C.
• Rebecca Chandler, PMHNP CS
• Kenneth O Cho, M.D.
• John Chowning, M.D.

• Speech-Language Pathologist in Farmington, ME
• Providers in Farmington, 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 Sep 15, 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.