JENNIFER MCCULLUM (NPI# 1326355033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326355033 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCULLUM |
| Credential | S/L PATHOLOGIST |
| Practice Address |
14 Shaker Road Gray ME 04039 |
| Mailing Address |
110 Pennell Avenue Portland ME 04039 |
| Practice Telephone | 2076572066 |
| Mailing Telephone | 2077732507 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | ME1650 | ME | Speech, Language and Hearing Service Providers |
| Street Address |
14 SHAKER ROAD |
| City | GRAY |
| State | ME |
| Zip Code | 04039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750871653 | Arsenio Santamaria | Social Worker | 26 Main, Gray, ME 04039 | 2018-05-16 |
| 1164871331 | Andrea Farrar | Nurse Anesthetist, Certified Registered | 716 Steven's Ave, Portland, ME 04039 | 2016-06-08 |
| 1508246687 | Benjamin Lawlor | Dentist | 31 Portland Rd, Gray, ME 04039 | 2015-06-04 |
| 1669864922 | Tabitha Leadbetter | Massage Therapist | 6 Main Street, Ste 6, Gray, ME 04039 | 2015-02-24 |
| 1891018149 | Kristen Curley | Mechanotherapist | 1 Gray Center, Suite# 6, Gray, ME 04039 | 2010-03-01 |
| 1528398104 | Beata Anna Wiktor | Psychologist | 6 Maine Street, Suite 1, Gray, ME 04039 | 2010-01-05 |
| 1942329701 | Kristin Marie Yarrish | Pharmacist | 20 Portland Road, Gray, ME 04039 | 2007-03-29 |
| 1407989478 | Karen Burke Lane | Social Worker | 31 Main St Ste 1, Gray, ME 04039 | 2007-03-13 |
| 1740329473 | Chris Jerome Dombrowski | Chiropractor | 2 Mcconkey Rd, Suite 3, Gray, ME 04039 | 2007-02-06 |
| 1194714733 | Jonathan F Cook | Optometrist | 6 Turnpike Acres Road, Gray, ME 04039 | 2005-10-17 |
| Find all providers in zip 04039 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083898431 | Sanjenetta I Lewis | Speech-Language Pathologist | 118 Buck Wallow Rd, Gray, GA 31032-3657 | 2007-12-20 |
| 1720252554 | East Tennessee State University | Speech-Language Pathologist | 350 Christian Church Rd, Gray, TN 37615-4500 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609064 | Kassidy Elizabeth Seeley | Speech-Language Pathologist | 1227 Us Highway 1a, Harrington, ME 04643-3201 | 2020-11-05 |
| 1447851563 | Beyond Your Horizons Speech Therapy | Speech-Language Pathologist | 81 Madison Dr, Naples, ME 04055-5039 | 2020-11-04 |
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1033729140 | Speech and Languagediagnostics LLC | Speech-Language Pathologist | 76 Babbidge Rd, Falmouth, ME 04105-2479 | 2020-08-04 |
| 1619587912 | Jaime Strain | Speech-Language Pathologist | 71 Pineland Dr, New Gloucester, ME 04260-5127 | 2020-08-03 |
| 1215552195 | Central Maine Speech and Language | Speech-Language Pathologist | 931 China Rd, Albion, ME 04910-6705 | 2020-06-16 |
| 1043844079 | Tareyn Vigna | Speech-Language Pathologist | 14 Frances Bell Dr, Bridgton, ME 04009-1278 | 2020-02-28 |
| 1184275919 | Maeve Corish | Speech-Language Pathologist | 340 Sokokis Trl, East Waterboro, ME 04030-5411 | 2019-09-23 |
| 1740839125 | Kylee Beth Holman | Speech-Language Pathologist | 666 Finson Rd Lot 250, Bangor, ME 04401-2455 | 2019-09-08 |
| 1366094070 | Sabrina Laura Williams | Speech-Language Pathologist | Po Box 249, Old Town, ME 04468-0249 | 2019-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.