Individual
AMANDA BETH TYBURSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CENTER ST, AUBURN, ME 04210-6404
(207) 782-2726
Mailing address
56 HERSEY HILL RD, MINOT, ME 04258-4013
(207) 782-2726
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2174
ME
Other
Enumeration date
09/05/2011
Last updated
09/11/2015
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