Individual ProviderStephanie Hayden HydeSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address49 Summer St, Portland, ME 04102-4087(917) 454-8609(978) 774-7570PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Hayden Hyde does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1275044364Provider TypeIndividualFull NameHyde, Stephanie HaydenCredentialMSGenderFemaleSole ProprietorNoEnumeration Date10/17/2017Last Updated2/16/2021Contact InformationPractice LocationPractice Address49 Summer St, Portland, ME 04102-4087Phone(917) 454-8609FaxUnlisted FaxMailing LocationMailing Address149 Sylvan St, Danvers, MA 01923-3564Phone(978) 774-7570Fax(978) 777-8547Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP3406MaineCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer