Active NPIIndividual providerSole proprietor

Timothy J Green, MA CCC/SLP

Speech-Language Pathologist, in Wakefield, Massachusetts

NPI Number1467887265
Practice location
6 Wolcott St, Wakefield, MA 01880-1528
Fax
—
Last updated
September 11, 2013

Timothy J Green is a Speech-Language Pathologist, based in Wakefield, MA. Timothy J Green practices in Wakefield, MA and has the professional credentials of MA CCC/SLP. The NPI Number for Timothy J Green is 1467887265 and holds a License No. 565 (MA). The current practice location address for Timothy J Green is 6 Wolcott St, Wakefield, MA 01880-1528 and can be reached out via phone at 781-245-5992.

Provider Profile Details

NPI Number
1467887265
Provider Name
Timothy J Green
Credential
MA CCC/SLP
Provider Entity Type
Individual
Gender
Male
Address
6 Wolcott St, Wakefield, MA 01880-1528
Phone Number
781-245-5992
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 11, 2013
Last Update Date
September 11, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Wolcott St
Wakefield, MA 01880-1528
Zip
01880-1528
Phone Number
781-245-5992
Wakefield, MA 01880Get directions →

Provider Business Mailing Address Details

Address
6 Wolcott St
Wakefield, MA 01880-1528
City
Wakefield
State
MA
Zip
01880-1528
Phone Number
781-245-5992

License Information

License Number
565
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy J Green, MA CCC/SLP?

The NPI number of Timothy J Green, MA CCC/SLP is 1467887265. It was assigned on September 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Timothy J Green, MA CCC/SLP?

Timothy J Green, MA CCC/SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 565.

Where does Timothy J Green, MA CCC/SLP practice?

The practice location is 6 Wolcott St, Wakefield, MA 01880-1528. The office can be reached at 781-245-5992 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467887265 directly on the NPPES registry website.

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