MRS. TANYA MAE THIBEAU (NPI# 1346540523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346540523 |
Entity Type | Individual |
Full Name | MRS. TANYA MAE THIBEAU |
Credential | MA CCC-SLP |
Practice Address |
285 Benton Ave Winslow ME 04901 |
Mailing Address |
20 Dean Street Winslow ME 04901 |
Practice Telephone | 2078721967 |
Mailing Telephone | 2078592313 |
Mailing Fax Number | 2078592342 |
Enumeration Date | 2010-10-22 |
Last Update Date | 2010-10-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235500000X | Specialist/Technologist | SP1099 | ME | Speech, Language and Hearing Service Providers |
Street Address |
285 BENTON AVE |
City | WINSLOW |
State | ME |
Zip Code | 04901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003114901 | Julia Renee Duncan | Specialist/Technologist | 285 Benton Ave, Winslow, ME 04901-3004 | 2011-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093325649 | Orthopedic Physical Therapy | Physical Therapist | Orthopedic Physical Therapy, 234 College Ave, Waterville, ME 04901 | 2020-08-07 |
1790328771 | Elizabeth Saucier | Counselor | Discovery House 40 Airport Rd, Waterville, ME 04901 | 2019-10-23 |
1780233445 | Amy Marie Tardy | Counselor | 325 Kmd, Building D - Unit 4, 325 Kmd - Building D -- Unit 4, Waterville, ME 04901 | 2019-09-05 |
1457905911 | Waterville Audiology PC | Audiologist-Hearing Aid Fitter | 124 Silver Street, Waterville, ME 04901 | 2019-08-01 |
1629537048 | Samantha Sobel | Behavioral Analyst | 2 Seton Center Dr, Waterville, ME 04901 | 2019-03-15 |
1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
1699243733 | Thomas James Demers | Counselor | Discovery House, 40 Airport Road, Waterville, ME 04901 | 2018-11-07 |
1851892442 | Alishia M Austin | Counselor | Discovery House Ctc Waterville 40 Airport Rd, Waterville, ME 04901 | 2018-02-28 |
1336671056 | Douglas Joseph Dicola | Family Medicine | Mainegeneral Medical Center, 149 North St, Waterville, ME 04901 | 2017-03-31 |
1134660020 | Waterville Medical Supplies | Durable Medical Equipment & Medical Supplies | 325 Waterville Commons Drive, Waterville, ME 04901 | 2017-03-13 |
Find all providers in zip 04901 |
Taxonomy Code | 235500000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336664770 | Christine Boucher | Specialist/Technologist | 32 Tandberg Trl Unit 7, Windham, ME 04062-6417 | 2017-08-07 |
1134436488 | Susan C Foltz | Specialist/Technologist | 11 Childrens Way, Rockport, ME 04856-5746 | 2010-09-08 |
1427362334 | Stacey Spencer | Specialist/Technologist | 291 Court St, Machias, ME 04654-3304 | 2010-08-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.