Ellen H Decotiis, MSLP | |
78 Depot St, Bar Mills, ME 04004 | |
(207) 809-9496 | |
(207) 839-2197 |
Full Name | Ellen H Decotiis |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 78 Depot St, Bar Mills, Maine |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578572079 | NPI | - | NPPES |
224340000 | Medicaid | ME | |
001035 | Other | ME | ANTHEM BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SP439 (Maine) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ellen H Decotiis, MSLP Po Box 608, Bar Mills, ME 04004-0608 Ph: (207) 929-4104 | Ellen H Decotiis, MSLP 78 Depot St, Bar Mills, ME 04004 Ph: (207) 809-9496 |
Anne Bolstad, MS, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Main Street, Bar Mills, ME 04004 Phone: 207-929-2316 | |
Ms. Carole Dionne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Main Street, Bar Mills, ME 04004 Phone: 207-929-3833 | |
Mr. Patrick William Civiello, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Main Street, Sad 6, Bar Mills, ME 04004 Phone: 207-929-5955 Fax: 207-929-3831 |