Provider Demographics
NPI:1558576413
Name:PARENTE, RENEE F (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:F
Last Name:PARENTE
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:C
Other - Last Name:FREIMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC/SLP
Mailing Address - Street 1:93 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:LIMESTONE
Mailing Address - State:ME
Mailing Address - Zip Code:04750-1141
Mailing Address - Country:US
Mailing Address - Phone:207-325-4742
Mailing Address - Fax:
Practice Address - Street 1:93 HIGH ST
Practice Address - Street 2:
Practice Address - City:LIMESTONE
Practice Address - State:ME
Practice Address - Zip Code:04750-1141
Practice Address - Country:US
Practice Address - Phone:207-325-4742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME94235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME290670099Medicaid