Jeanne Carolyn Ott
Individual provider Active NPI Speech-Language Pathologist · Southwest Harbor, ME
NPI 1598065518 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1598065518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP401 (ME)
- Practice address
- 327 Main St
Southwest Harbor, ME 04679-4403 - Phone
- (207) 244-5502
- NPI assigned
- Oct 25, 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 |
|---|---|---|---|
| SP401 | ME | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP401 | ME | Yes |
Addresses
Primary practice location
327 Main St
Southwest Harbor, ME 04679-4403
Mailing address
PO Box 255
Southwest Harbor, ME 04679-0255
Phone (207) 244-5502
Other providers in Southwest Harbor, ME
- Mount Desert Island Hospital
- Mount Desert Island Hospital
- Natasha Sajeevika Neal
- Eric W Norberg
- Elizabeth S. Oppewall
- Marsha B Pilz
- Quietside Psychiatry PLLC
- Stephanie Requena
- Marta Rieman
- Richard Schamle
All providers in Southwest Harbor, 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 Oct 25, 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.