Doctor Name: | MRS. MAUREEN MORAN DWINELL |
NPI Number: | 1043383748 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 387 |
Business Practice Address: | 195 School Street Family Medical Associates Manchester, MA - 01944 |
Business Phone Number: | 9782830996 |
Business Fax Number: | 9785465899 |
Mailing Address: | Po Box 88, ROCKPORT |
State: | MA |
Postal Code: | 01966 |
Phone Number: | 9782830996 |
Fax Number: | 9785465899 |
NPI Enumeration Date: | 11/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |