Provider Demographics
NPI:1750584652
Name:DUMONTHIER, CAROLE ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:CAROLE
Middle Name:ANN
Last Name:DUMONTHIER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 WILLIAMSBURG RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG TWP
Mailing Address - State:ME
Mailing Address - Zip Code:04414-4016
Mailing Address - Country:US
Mailing Address - Phone:207-965-8516
Mailing Address - Fax:
Practice Address - Street 1:9 STICKNEY HILL ROAD
Practice Address - Street 2:
Practice Address - City:BROWNVILLE
Practice Address - State:ME
Practice Address - Zip Code:04414
Practice Address - Country:US
Practice Address - Phone:207-943-3306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MESP785235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist