IndividualActive
Beth-Anne Kanecke, MS, CCC-SLP, TSSLD
NPI 1093022436 · Speech-Language Pathologist · Portland, ME
Provider details
- NPI number
- 1093022436
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MS, CCC-SLP, TSSLD
- Sex
- Female
- Sole proprietor
- No
- License
- 020276-1 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
68 Bishop St
Unit 1, Room 5
Portland, ME 04103-2681
Phone: (646) 924-5111
Street-level locationGet directions
Mailing address
68 Bishop St
Portland, ME 04103-2681
Registry dates
- Enumerated
- 2010-09-07
- Last updated
- 2016-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.