Julie Anne Conkright, M.S., CCC-SLP

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

NPI 1376665653 · NPPES record last updated Oct 14, 2010

Key facts

NPI
1376665653
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP805 (ME)
Practice address
36 Oak St
Lewiston, ME 04240-7149
Phone
(207) 795-4110
NPI assigned
Apr 6, 2007
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 Science

State licenses

LicenseStateTypeSpecialty
SP805MEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP805 ME Yes

Addresses

Primary practice location

36 Oak St
Lewiston, ME 04240-7149

Mailing address

23 Katie Ave
Lewiston, ME 04240-2540
Phone (207) 784-0323

Other providers in Lewiston, ME

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

Sources for this page

Verify at the official NPI Registry.