Provider Demographics
NPI:1003123514
Name:RSU 20
Entity Type:Organization
Organization Name:RSU 20
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:SHUTE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC
Authorized Official - Phone:207-338-3510
Mailing Address - Street 1:31 ELEMENTARY AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6469
Mailing Address - Country:US
Mailing Address - Phone:207-338-1960
Mailing Address - Fax:
Practice Address - Street 1:31 ELEMENTARY AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6469
Practice Address - Country:US
Practice Address - Phone:207-338-1960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME259355251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)