Deana A Small, M.S.
Individual provider Active NPI Speech-Language Pathologist · Bucksport, ME
NPI 1447565254 · NPPES record last updated Aug 17, 2010
Key facts
- NPI
- 1447565254
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1288 (ME)
- Practice address
- 62 Mechanic St
Bucksport, ME 04416-4094 - Phone
- (207) 469-6642
- NPI assigned
- Aug 17, 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1288 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1288 | ME | Yes |
Addresses
Primary practice location
62 Mechanic St
Bucksport, ME 04416-4094
Mailing address
62 Mechanic St
Bucksport, ME 04416-4094
Phone (207) 469-6642
Other providers in Bucksport, ME
- Rtfec PC
- Joanna E Searles
- Jennifer Leigh Seneca
- Heidi Jane Shawley
- George E Skala
- Elizabeth Archibald Smith
- Angela M Swainson
- Jennifer H Taylor
- Jeff Thibeau
- Kim Rosan Tousignant
All providers in Bucksport, 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 17, 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.