Doctor Name: | TABITHA E VARNEY |
NPI Number: | 1528321528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | ST2182 |
Business Practice Address: | 16 Kids Peace Way Ellsworth, ME - 046053483 |
Business Phone Number: | 8009929543 |
Business Fax Number: | 2076676348 |
Mailing Address: | 16 Kids Peace Way, ELLSWORTH |
State: | ME |
Postal Code: | 046053483 |
Phone Number: | 8009929543 |
Fax Number: | 2076676348 |
NPI Enumeration Date: | 06/25/2012 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ST2182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
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 |