Bragg, Amy L

Bragg, Amy L is an individual health care provider with primary practice located at 797 Wilson St Ste 2 , Brewer ME 04412-1003. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bragg, Amy L can be contacted via phone (207) 947-8493.

Contact Information

Primary practice address
797 Wilson St Ste 2 Brewer ME 04412-1003
Phone: (207) 947-8493
Fax: (207) 990-4819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP825 Maine

Profile Details

NPI number 1003989815
LBN Legal business name Bragg, Amy L
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Sep 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003989815 NPPES
Maine MEDICAID 252520099
Maine Other 024794

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