person
Shannon Marie Tyler
Speech-Language Assistant in Winthrop, Maine
NPI 1285963298

Shannon Marie Tyler is a Speech-Language Assistant based in Augusta, ME and is specialized in Speech-Language Assistant. Shannon Marie Tyler practices in Winthrop, ME. The NPI Number for Shannon Marie Tyler is 1285963298 and holds a License No. SAS1421 (Maine).

The current practice location address for Shannon Marie Tyler is 28 N Heritage Woods Ln, Winthrop, ME and can be reached out via phone at 207-377-2472 and via fax at 207-377-2472.

Location: 28 N Heritage Woods Ln, Winthrop, ME, 04330-0500
person
Provider Profile Details
NPI Number
1285963298
Provider Name
Shannon Marie Tyler
Credential
Provider Entity Type
Individual
Gender
Female
Address
28 N Heritage Woods Ln, Winthrop, ME, 04330-0500
Phone Number
207-377-2472
Fax Number
207-377-2472
Provider Enumeration Date
12/22/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
266450099 05 ME
institution
Provider Business Practice Location Address Details
Address
28 N Heritage Woods Ln
City
State
Zip
04364-3240
Phone Number
207-377-2472
Fax Number
207-377-2472
person
Provider Business Mailing Address Details
Address
28 N Heritage Woods Ln
City
State
Zip
04364-3240
Phone Number
207-377-2472
Fax Number
207-377-2472
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
SAS1421 (Maine)
Definition
Definition to come...
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