Kelly Fish
Individual provider Active NPI Speech-Language Pathologist · Veazie, ME
NPI 1447567219 · NPPES record last updated Sep 1, 2010
Key facts
- NPI
- 1447567219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1085 (ME)
- Practice address
- 1040 School St
Veazie, ME 04401-6950 - Phone
- (207) 947-6573
- NPI assigned
- Sep 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SP1085 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1085 | ME | Yes |
Addresses
Primary practice location
1040 School St
Veazie, ME 04401-6950
Mailing address
1040 School St
Veazie, ME 04401-6950
Phone (207) 947-6573
Other providers in Veazie, ME
- Ryan Michael Bennett I
- Sandra Lucille Butters
- Alyssa Campbell
- Bonnie L Clark
- Kendall Fitzpatrick Doyle
- Meagan Foss
- Jennifer Freese
- Gerard Allan Graves
- Raylene D Jernigan
- Caitlin Lynch
All providers in Veazie, 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 Sep 1, 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.