MS. KATHARINE J DISALVATORE FORTIN (NPI# 1992877765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992877765 |
| Entity Type | Individual |
| Full Name | MS. KATHARINE J DISALVATORE FORTIN |
| Other Name | KATHARINE JEANNE LESSARD |
| Credential | MA |
| Practice Address |
700 Mount Hope Ave Ste 320 Bangor ME 04401-5680 |
| Practice Telephone | 2079412952 |
| Practice Fax Number | 2079412955 |
| Mailing Telephone | 2079412952 |
| Mailing Fax Number | 2079412955 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP1742 | ME | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 251820099 | 05 |
| Street Address |
700 MOUNT HOPE AVE STE 320 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740724285 | Daniel Cohen | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-12-16 |
| 1366995540 | Heidi Anne Crouse | Speech-Language Pathologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2016-07-25 |
| 1972925964 | Jennifer Williams | Specialist/Technologist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2014-01-10 |
| 1942543848 | Sadel Davis | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2013-03-29 |
| 1760721138 | Leigh Erin Broughan | Behavioral Analyst | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2013-02-05 |
| 1093068041 | Melissa Shorey | Social Worker | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-10-16 |
| 1285983262 | Keith Gordon Tibbetts | Counselor | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2012-09-05 |
| 1689805590 | Sarah Christine Marks | Specialist | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2009-07-28 |
| 1497957021 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| 1962604595 | Ucp of Northeastern Maine | Residential Treatment Facility, Emotionally Disturbed Children | 700 Mount Hope Ave Ste 320, Bangor, ME 04401-5680 | 2007-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1740839125 | Kylee Beth Holman | Speech-Language Pathologist | 666 Finson Rd Lot 250, Bangor, ME 04401-2455 | 2019-09-08 |
| 1811419997 | Victoria Ann Kerr | Speech-Language Pathologist | 30429 White Oak Dr, Bangor, MI 49013-9521 | 2017-07-11 |
| 1508393844 | Michelle Landry | Speech-Language Pathologist | 700 Mt. Hope Ave, Suite 320, Bangor, ME 04401 | 2017-05-17 |
| 1265885800 | Jamie Marie Beck | Speech-Language Pathologist | 30 Otis St # 2, Bangor, ME 04401-5524 | 2016-07-19 |
| 1356797120 | Alison Cohen | Speech-Language Pathologist | 88 Palm St, Bangor, ME 04401-4020 | 2016-05-10 |
| 1821422429 | Leslie Stewart | Speech-Language Pathologist | 173 W Broadway, Bangor, ME 04401-5927 | 2013-08-30 |
| 1851606313 | Elizabeth Ives Field | Speech-Language Pathologist | 189 Norfolk St, Bangor, ME 04401-3466 | 2010-08-09 |
| 1710111497 | Heather L Laplante | Speech-Language Pathologist | 259 Essex St, #1, Bangor, ME 04401-4001 | 2009-05-08 |
| 1407018641 | Nancy Buijnarowski | Speech-Language Pathologist | 516 Mount Hope Ave, Bangor, ME 04401-4215 | 2008-06-30 |
| 1770774382 | Liela Banks Johnson | Speech-Language Pathologist | 88 Maple St, Bangor, ME 04401-5407 | 2007-08-08 |
| Find all providers in BANGOR | ||||
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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.