Organization

Aos 92

Speech-Language Pathologist in Winslow, ME(View on Map)

Legal Business Name

Aos 92

NPI Number

1760798953

NPI Type

Organization

Enumeration Date

08/25/2010

Specialties

(Taxonomies)

Code

235Z00000X

Primary Taxonomy

Yes

Licenses

State

Maine

License Number

SP1099

Contact
Information

Purpose

Mailing
Location

Address

20 DEAN ST
20 DEAN ST

City

Winslow
Winslow

State

ME
ME

Postal Code

04901-6738
04901-6738

Country

US
US

Telephone Number

N/A
(207) 872-1967

Authorized Official

Name

Tanya Thibeau

Title or Position

SPEECH-LANGUAGE PATHOLOGIST

Telephone Number

(207) 872-1967

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/25/2010

Provider Address