NPI 1669789590
Patrick William Civiello, MACCCSLP
Practice location
- Address
- 100 Main Street Sad 6, Bar Mills, ME 04004-0038
- Phone
- (207) 929-5955
- Fax
- (207) 929-3831
- Mailing address
- PO Box 38 Msad 6, 100 Main Street, Bar Mills, ME 04004
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1669789590
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Sep 2010
- Record last updated
- 14 Sep 2010
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.