Individual ProviderGail GreenblattSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address10 Candlewyck Ter, Portland, ME 04102-1516(207) 771-0223PECOS EnrollmentBased on the most recent information from CMS, provider Gail Greenblatt 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 4 days ago.Profile DetailsProvider ID1457556318Provider TypeIndividualFull NameGreenblatt, GailCredentialSLPGenderFemaleSole ProprietorYesEnumeration Date6/19/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address10 Candlewyck Ter, Portland, ME 04102-1516Phone(207) 771-0223Fax(207) 771-0223Mailing LocationMailing Address10 Candlewyck Ter, Portland, ME 04102-1516Phone(207) 771-0223Fax(207) 771-0223Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSP285MaineProvider IdentifiersIDDescriptionIssuerID017093DescriptionOtherIssuerANTHEMMaine