Individual
MAE TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/CCC
Contact information
Practice address
1273 MILLSTONE RD, BREWSTER, MA 02631-2609
(508) 255-0076
Mailing address
PO BOX 774, ORLEANS, MA 02653-0774
(508) 255-0076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1436
MA
Other
Enumeration date
09/02/2013
Last updated
09/02/2013
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