Spencer, Lisa

Spencer, Lisa is an individual health care provider with primary practice located at 222 Auburn St Ste. 1G, Portland ME 04103-6004. 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. Spencer, Lisa can be contacted via phone (207) 797-8255.

Contact Information

Primary practice address
222 Auburn St Ste. 1G Portland ME 04103-6004
Phone: (207) 797-8255
Fax: (207) 797-5560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1551 Maine

Profile Details

NPI number 1477647808
LBN Legal business name Spencer, Lisa
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 7th, 2009 - about 16 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 1477647808 NPPES
Maine Other 061366 ANTHEM BLUE CROSS AND BLU
Maine MEDICAID 410270099 ANTHEM BLUE CROSS AND BLU

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