Whalio Doctors

NPI 1174284236

Gwyneth Peacock, MSCCCSLP

Practitioner Speech-Language Pathologist Auburn, ME

Practice location

Address
440 Minot Ave, Auburn, ME 04210-4332
Phone
(207) 784-3573
Mailing address
78 Lamb St APT 1, Westbrook, ME 04092-4206

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SP3465 (ME)

Registry record

NPI
1174284236
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 Dec 2021
Record last updated
31 Dec 2021

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.