Whalio Doctors

NPI 1013451475

Susan Bahadori, MACCCSLP

Practitioner Speech-Language Pathologist South Portland, ME

Practice location

Address
341 Highland Ave # 1, South Portland, ME 04106-4510
Phone
(301) 802-8342

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP2317 (ME)

Registry record

NPI
1013451475
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Dec 2016
Record last updated
5 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.