Provider Demographics
NPI:1598092116
Name:TOWN OF CASWELL
Entity Type:Organization
Organization Name:TOWN OF CASWELL
Other - Org Name:TOWN OF CASWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-325-4611
Mailing Address - Street 1:1025 VAN BUREN RD
Mailing Address - Street 2:
Mailing Address - City:CASWELL
Mailing Address - State:ME
Mailing Address - Zip Code:04750-3204
Mailing Address - Country:US
Mailing Address - Phone:207-325-4611
Mailing Address - Fax:207-325-3371
Practice Address - Street 1:1025 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:CASWELL
Practice Address - State:ME
Practice Address - Zip Code:04750-3204
Practice Address - Country:US
Practice Address - Phone:207-325-4611
Practice Address - Fax:207-325-3371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty