| Organization Name: | CAPE COD SPEECH AND LANGUAGE |
| NPI Number: | 1154634202 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAE TIMMONS (OWNER/SPEECH PATHOLOGIST) |
| Mailing Address: | 46 Main St 2nd Floor Orleans |
| State: | MA US |
| Postal Code: | 026532441 |
| Phone Number: | 5082550076 |
| Fax Number: | 8883178302 |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1436 |
| 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 |