Individual ProviderEdmond William MartellSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address22 Bramhall St, Portland, ME 04102-3134(207) 662-4892PECOS EnrollmentBased on the most recent information from CMS, provider Edmond William Martell 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 ID1538711411Provider TypeIndividualFull NameMartell, Edmond WilliamTitleMr.GenderMaleSole ProprietorNoEnumeration Date7/11/2019Last Updated7/11/2019Contact InformationPractice LocationPractice Address22 Bramhall St, Portland, ME 04102-3134Phone(207) 662-4892FaxUnlisted FaxMailing LocationMailing Address22 Bramhall St, Portland, ME 04102-3134PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer