Organization Name: | O.T. TO PLAY |
NPI Number: | 1851410054 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA L BEAUCHESNE (CO OWNER) |
Mailing Address: | 18 Grove St Norway |
State: | ME US |
Postal Code: | 042685610 |
Phone Number: | 2077392242 |
Fax Number: | 2077392466 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP322 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |