MS. Jackie Ellyn Reifer, MEDSLPCCC
MS. Jackie Ellyn Reifer, MEDSLPCCC is a Speech-Language Pathologist in Portland, Maine. Licensed in Maine. Registered with an NPI since 2007.
- Licensed in
- ME
- In the registry since
- 2007
Practice location Address checks out
43 Baxter BlvdPortland, ME 04101-1823
Phone: (207) 874-1065
Fax: (207) 874-1068
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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 SP530 (ME) |
|---|
Record details
| NPI number | 1356487235 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MEDSLPCCC |
| Sole proprietor | No |
| NPI enumerated | January 29, 2007 |
| Last updated in NPPES | July 8, 2007 |
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