Kimberly Pajor-Perrin, M.S. CCC SP
Individual provider Active NPI Speech-Language Pathologist · Naples, ME
NPI 1609933779 · NPPES record last updated Nov 13, 2020
Key facts
- NPI
- 1609933779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1705 (ME)
- Practice address
- 81 Madison Dr
Naples, ME 04055-5039 - Phone
- (207) 402-1130
- NPI assigned
- Jan 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210224002026 | ME | Practitioner - Qualified Speech Language Pathologist | 9537206578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP1705 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Your Horizons Speech Therapy | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1705 | ME | Yes |
Addresses
Primary practice location
81 Madison Dr
Naples, ME 04055-5039
Mailing address
81 Madison Dr
Naples, ME 04055-5039
Phone (207) 402-1130
Other providers in Naples, ME
- Cortney Muldoon
- Pamela Joy Mullinix
- Naples Physical Therapy Center
- Naples Professional Pharmacy
- Katherine O'Keefe
- Gregory Allen Phillips
- Judith Leigh Prevost
- Rite Aid
- Rite Aid of Maine Inc
- Sage of the Light LLC
All providers in Naples, 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 Nov 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.