Phyllis A. Degen, M.S.,C.C.C./SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP541 Issued in ME

Practice address

466 Main Street Center
Damariscotta, ME 04543-1114

Phone

(207) 563-1411

NPI assigned

Mar 29, 2010

Last updated

Mar 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Development Services - Lincoln

  • Occupational Therapist
  • Damariscotta, ME
  • NPI 1245474683

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1659696144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1114",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045431114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 MAIN STREET CENTER",
            "city": "DAMARISCOTTA",
            "state": "ME",
            "postal_code": "045431114",
            "telephone_number": "207-563-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEN",
        "first_name": "PHYLLIS",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "M.S.,C.C.C./SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn D Davis, DPT
• Lisa Susan Davis, CRNA, APRN
• Cathy Davison
• Misti Day, APRN-FNP-C
• Lisa Marie Dayringer
• Molly Delaney, PSYD
• Julie Delory, NP-C
• Traci Lynn Dempsey, IPDH
• Alexandra Kristen Derosia, DPT
• Haley E Doak, PAC

• Speech-Language Pathologist in Damariscotta, ME
• Providers in Damariscotta, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.