Rhonnie Gardner, SLPA
Individual provider Active NPI Speech-Language Assistant · Edmunds TWP, ME
NPI 1992003222 · NPPES record last updated Mar 10, 2011
Key facts
- NPI
- 1992003222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- License
- 389874 (ME)
- Practice address
- 16 Great Works Rd
Edmunds TWP, ME 04628-5200 - Phone
- (207) 726-5183
- NPI assigned
- Mar 10, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 389874 | ME | MD | Speech-Language Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | 389874 | ME | Yes |
Addresses
Primary practice location
16 Great Works Rd
Edmunds TWP, ME 04628-5200
Mailing address
16 Great Works Rd
Edmunds TWP, ME 04628-5200
Phone (207) 726-5183
Other providers in Edmunds TWP, ME
All providers in Edmunds TWP, ME · Speech-Language Assistant in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2011. 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.