Melissa Metivier
Individual provider Active NPI Speech-Language Pathologist · Bangor, ME
NPI 1922313337 · NPPES record last updated Apr 23, 2018
Key facts
- NPI
- 1922313337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP1971 (ME)
- Practice address
- 73 Harlow St
Bangor, ME 04401-5118 - Phone
- (207) 992-4156
- NPI assigned
- Aug 10, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| SP1971 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Bangor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP1971 | ME | Yes |
Addresses
Primary practice location
73 Harlow St
Bangor, ME 04401-5118
Mailing address
73 Harlow St
Bangor, ME 04401-5118
Phone (207) 992-4156
Other providers in Bangor, ME
- Gena Merritt
- Makayla Bryn Merry
- Mert Enterprises, Inc.
- Ahmed Messahel
- Dawn Messer
- Metro Treatment of Maine LP
- David L Mevorach
- MH Health Care Services, PC
- MHT-Vision Support Services LLC
- Maria Michailidou
All providers in Bangor, 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 23, 2018. 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.