Active NPIIndividual provider

Mary Beaster, MA, CCC-SLP

Speech-Language Pathologist, in Warren, Maine

NPI Number1083029953
Practice location
117 Eastern RD, Warren, ME 04864-4512
Fax
—
Last updated
December 17, 2024

Mary Beaster is a Speech-Language Pathologist, based in Warren, ME. Mary Beaster practices in Warren, ME and has the professional credentials of MA, CCC-SLP. The NPI Number for Mary Beaster is 1083029953 and holds a License No. SP2416 (ME). The current practice location address for Mary Beaster is 117 Eastern RD, Warren, ME 04864-4512 and can be reached out via phone at 207-273-2001.

Provider Profile Details

NPI Number
1083029953
Provider Name
Mary Beaster
Credential
MA, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
117 Eastern RD, Warren, ME 04864-4512
Phone Number
207-273-2001
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2014
Last Update Date
December 17, 2024
Certification Date
December 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
117 Eastern RD
Warren, ME 04864-4512
City
Warren
State
Maine
Zip
04864-4512
Phone Number
207-273-2001
Warren, ME 04864Get directions →

Provider Business Mailing Address Details

Address
24 Georges St
Thomaston, ME 04861-3912
City
Thomaston
State
ME
Zip
04861-3912

License Information

License Number (1)
SP2416
License State (1)
ME
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
ST2339
License State (2)
ME
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mary Beaster, MA, CCC-SLP?

The NPI number of Mary Beaster, MA, CCC-SLP is 1083029953. It was assigned on June 30, 2014 and is currently active in the NPPES registry.

What is the specialty of Mary Beaster, MA, CCC-SLP?

Mary Beaster, MA, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP2416.

Where does Mary Beaster, MA, CCC-SLP practice?

The practice location is 117 Eastern RD, Warren, ME 04864-4512. The office can be reached at 207-273-2001 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083029953 directly on the NPPES registry website.

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