Christine Petrillo
Individual provider Active NPI Speech-Language Pathologist · North Berwick, ME
NPI 1376858670 · NPPES record last updated Aug 11, 2010
Key facts
- NPI
- 1376858670
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1213 (ME)
- Practice address
- 25 Varney Rd
North Berwick, ME 03906-6142 - Phone
- (207) 676-9811
- NPI assigned
- Aug 11, 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 |
|---|---|---|---|
| SP1213 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1213 | ME | Yes |
Addresses
Primary practice location
25 Varney Rd
North Berwick, ME 03906-6142
Mailing address
222 Rollingwood Rd
Eliot, ME 03903-1525
Other providers in North Berwick, ME
- Msad 60
- North Berwick Family Medicine PA
- North Berwick Rescue Squad
- Occupational Health Centers of the Southwest P.a.
- Joseph Lawrence Pelletier
- Pinnacle Group of Hudson Valley III LLC
- Recovery Maine, Inc.
- Renew Wound Care of Maine PLLC
- Residential and Community Support Services
- Rise Counseling Services, LLC
All providers in North Berwick, 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 11, 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.