Organization · Type 2 NPI

The Shooting Stars Program

Specialist · Scarborough, ME

NPI number 1740415488 Active

Practice location

152 US Route 1, 4
Scarborough, ME 04074-8365

Mailing address

27 High Point Rd
Scarborough, ME 04074-9027

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1740415488

The Shooting Stars Program's National Provider Identifier is 1740415488, issued on May 26, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Scarborough, ME. The record was last updated on May 26, 2009.