Johanna Costello
Johanna Costello is a Speech-Language Pathologist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2010.
- Licensed in
- ME
- In the registry since
- 2010
Practice location Address checks out
197 Pine St Apt 24Portland, ME 04102-3533
Phone: (516) 319-3889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence ST2024 (ME) |
|---|
Record details
| NPI number | 1700180361 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 22, 2010 |
| Last updated in NPPES | December 22, 2010 |
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