Lydia Ann Atkins, SLP

Individual provider Active NPI Speech-Language Pathologist · Damariscotta, ME

NPI 1992933378 · NPPES record last updated Jun 24, 2009

Key facts

NPI
1992933378
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP1081 (ME)
Practice address
464 Main St. Centre
Damariscotta, ME 04543
Phone
(207) 563-1411
NPI assigned
Jun 24, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SP1081MEMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP1081 ME Yes

Addresses

Primary practice location

464 Main St. Centre
Damariscotta, ME 04543

Mailing address

PO Box 892
67 Bristol Road
Damariscotta, ME 04543
Phone (207) 563-2864

Other identifiers

IdentifierTypeStateIssuer
271760000MedicaidME

Other providers in Damariscotta, ME

All providers in Damariscotta, ME · Speech-Language Pathologist in Maine

Sources for this page

Verify at the official NPI Registry.