Provider Demographics
NPI:1740598267
Name:PARENT, DORIS (SPEECH/LANGUAGE CLIN)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:
Last Name:PARENT
Suffix:
Gender:F
Credentials:SPEECH/LANGUAGE CLIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 GRAY RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4290
Mailing Address - Country:US
Mailing Address - Phone:207-892-1840
Mailing Address - Fax:
Practice Address - Street 1:404 GRAY RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4290
Practice Address - Country:US
Practice Address - Phone:207-892-1840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME408581235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist