Individual
ANNETTE LYNN TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S-L THERAPIST
Contact information
Practice address
86 INTERVALE RD, NEW GLOUCESTER, ME 04260
(207) 926-4322
Mailing address
14 SHAKER ROAD, GRAY, ME 04039
(207) 657-2066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
DOE 293
ME
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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