MRS. TANYA MAE THIBEAU


Address: 285 Benton Ave, Winslow, ME 04901
Phone: 2078721967

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235500000X Specialist/Technologist SP1099 ME Speech, Language and Hearing Service Providers

Office Location

Street Address 285 BENTON AVE
City WINSLOW
State ME
Zip Code 04901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003114901 Julia Renee Duncan Specialist/Technologist 285 Benton Ave, Winslow, ME 04901-3004 2011-03-02

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Taxonomy Information

Taxonomy Code 235500000X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist

Taxonomy Definition

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Providers in the same taxonomy and state

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

Competitor

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City WINSLOW
Zip Code 04901

Improve Information

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Dataset Information

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.

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