Darcy Wallace Libby, SLP
Individual provider Active NPI Speech-Language Pathologist · Woolwich, ME
NPI 1497768535 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497768535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1153 (ME)
- Practice address
- 18 Miller St
Woolwich, ME 04579-4573 - Phone
- (207) 443-8912
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| SP1153 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pandora Talks | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1153 | ME | Yes |
Addresses
Primary practice location
18 Miller St
Woolwich, ME 04579-4573
Mailing address
18 Miller St
Woolwich, ME 04579-4573
Phone (207) 443-8912
Other providers in Woolwich, ME
- Dianne Williamson Bunch
- Cathleen Rice
- Julie Erb
- Mary Graham
- Kristina H Harger
- Pandora Talks
- Pandora Talks PC
- Pandora Talks PC
- Kathryn McManamy Parker
- Julien Perille
All providers in Woolwich, 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 Jul 8, 2007. 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.