Donna J Bisbee, SLP
Individual provider Active NPI Speech-Language Pathologist · Scarborough, ME
NPI 1669979522 · NPPES record last updated Apr 9, 2018
Key facts
- NPI
- 1669979522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP390 (ME)
- Practice address
- 55 Spring St Ste a
Scarborough, ME 04074-8926 - Phone
- (207) 396-7337
- Fax
- (207) 885-4349
- NPI assigned
- Apr 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180605000396 | ME | Practitioner - Qualified Speech Language Pathologist | 8224393723 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP390 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Current | Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Current |
Accepting new patients | |
| Mainehealth | Past | Accepting new patients |
Locations
190 Riverside St
Unit 6B
Portland, ME 04103
22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179
55 Spring St
#A
Scarborough, ME 04074
Phone (207) 396-7337
92 Campus Dr
Ste B
Scarborough, ME 04074
Phone (207) 662-5143
49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414
55 Spring St
Scarborough, ME 04074
Phone (207) 396-7337
584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP390 | ME | Yes |
Addresses
Primary practice location
55 Spring St Ste a
Scarborough, ME 04074-8926
Mailing address
190 Riverside St Unit 6B
Portland, ME 04103-1073
Other providers in Scarborough, ME
- Rachael Biega
- S. Thomas Bigos
- Michael A Binette
- Robert G Bing-You
- John Birknes
- Bradford Jon Blanchard
- Fiona Blanchard
- Joanne R Blanchard
- Henry Blanchette
- Bluewater Therapy Services LLC
All providers in Scarborough, 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 Apr 9, 2018. 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.