Active NPIIndividual provider

Kimberly Bauerly, MS SLP-CCC

Speech-Language Pathologist, in Portland, Maine

NPI Number1568769206
Practice location
75 W Commercial St, Suite 205, Portland, ME 04101-4797
Fax
207-797-5560
Last updated
January 8, 2013

Kimberly Bauerly is a Speech-Language Pathologist, based in Portland, ME. Kimberly Bauerly practices in Portland, ME and has the professional credentials of MS SLP-CCC. The NPI Number for Kimberly Bauerly is 1568769206 and holds a License No. SP2077 (ME). The current practice location address for Kimberly Bauerly is 75 W Commercial St, Suite 205, Portland, ME 04101-4797 and can be reached out via phone at 207-797-8255 and via fax at 207-797-5560.

Provider Profile Details

NPI Number
1568769206
Provider Name
Kimberly Bauerly
Credential
MS SLP-CCC
Provider Entity Type
Individual
Gender
Female
Address
75 W Commercial St, Suite 205, Portland, ME 04101-4797
Phone Number
207-797-8255
Fax Number
207-797-5560
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
February 15, 2011
Last Update Date
January 8, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 W Commercial St
Suite 205
Portland, ME 04101-4797
State
Maine
Zip
04101-4797
Phone Number
207-797-8255
Fax Number
207-797-5560
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
75 W Commercial St
Suite 205
Portland, ME 04101-4797
City
Portland
State
ME
Zip
04101-4797
Phone Number
207-797-8255
Fax Number
207-797-5560

License Information

License Number
SP2077
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

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 Kimberly Bauerly, MS SLP-CCC?

The NPI number of Kimberly Bauerly, MS SLP-CCC is 1568769206. It was assigned on February 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Kimberly Bauerly, MS SLP-CCC?

Kimberly Bauerly, MS SLP-CCC is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number SP2077.

Where does Kimberly Bauerly, MS SLP-CCC practice?

The practice location is 75 W Commercial St, Suite 205, Portland, ME 04101-4797. The office can be reached at 207-797-8255 (phone) or 207-797-5560 (fax).

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 1568769206 directly on the NPPES registry website.

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