1164390696 NPI number — BEYOND WORDS MEDICAL SPEECH PATHOLOGY

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164390696 NPI number — BEYOND WORDS MEDICAL SPEECH PATHOLOGY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEYOND WORDS MEDICAL SPEECH PATHOLOGY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164390696
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
177 BOWMANS LANDING RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GEORGETOWN
Provider Business Mailing Address State Name:
ME
Provider Business Mailing Address Postal Code:
04548-3231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
207-329-7503
Provider Business Mailing Address Fax Number:
207-419-7596

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 MAINE ST STE 216
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRUNSWICK
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04011-2078
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-329-7503
Provider Business Practice Location Address Fax Number:
207-419-7596
Provider Enumeration Date:
10/27/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BERK-GIRAY
Authorized Official First Name:
YONCA
Authorized Official Middle Name:
Authorized Official Title or Position:
SPEECH LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
207-329-7503

Provider Taxonomy Codes

  • Taxonomy code: 261QH0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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