Provider Demographics
NPI:1386861417
Name:NEW ERA THERAPIES
Entity Type:Organization
Organization Name:NEW ERA THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HERR
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:207-879-6007
Mailing Address - Street 1:205 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-3103
Mailing Address - Country:US
Mailing Address - Phone:207-879-6007
Mailing Address - Fax:
Practice Address - Street 1:205 CONCORD ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-3103
Practice Address - Country:US
Practice Address - Phone:207-879-6007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP472235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty