Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE FORBES SUMMERVILLE
Active Sole ProprietorNeurodevelopmental Disabilities · ARUNDEL, ME
Registration Details
- NPI Number
- 1245974708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2022 (4.0035863813957 yrs)
- Last Updated
- Apr 21, 2022
- License
-
PA4434 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
COASTAL KIDS OT 1222 PORTLAND RDARUNDEL, ME, 04046Browse ME providers · Browse ZIP 04046
- Phone
- 2073371058
- Primary Specialty
-
Neurodevelopmental Disabilities
2080P0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.