Healthcare Provider Details

I. General information

NPI: 1700161932
Provider Name (Legal Business Name): TINYEYE THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2011
Last Update Date: 10/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103-116 RESEARCH DRIVE
SASKATOON SASKATCHEWAN
S7N 3R3
CA

IV. Provider business mailing address

103-116 RESEARCH DRIVE
SASKATOON SASKATCHEWAN
S7N 3R3
CA

V. Phone/Fax

Practice location:
  • Phone: 306-955-1911
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. GREG SUTTON
Title or Position: CEO
Credential:
Phone: 306-955-1911