Healthcare Provider Details

I. General information

NPI: 1356588743
Provider Name (Legal Business Name): TLM CONSULTING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2009
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3285 GILLESPIE RD
BINGHAMTON NY
13903-5621
US

IV. Provider business mailing address

3285 GILLESPIE RD
BINGHAMTON NY
13903-5621
US

V. Phone/Fax

Practice location:
  • Phone: 607-669-4529
  • Fax:
Mailing address:
  • Phone: 607-669-4529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number004444-1
License Number StateNY

VIII. Authorized Official

Name: THERESA L MEREDITH
Title or Position: PRESIDENT
Credential: CCC-SLP
Phone: 607-669-4529