IndividualActive
Michelle Summerville
NPI 1245974708 · Pediatric Neurodevelopmental Disabilities Physician · Arundel, ME
Provider details
- NPI number
- 1245974708
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- Yes
- License
- PA4434 (ME)
Practice location
Coastal Kids OT 1222 Portland Rd
Arundel, ME 04046
Phone: (207) 337-1058
Mailing address
77 Roberts Pond Rd
Lyman, ME 04002-6714
Registry dates
- Enumerated
- 2022-04-21
- Last updated
- 2022-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.