Individual
FAYE M TINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
56 E MAIN ST, AVON, CT 06001-3802
(860) 271-0098
Mailing address
24 BOTELLE MNR, CROMWELL, CT 06416-1301
(860) 424-6792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4690
CT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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