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NPI Code Detail

MEDICARE: TIMOTHY JAMES RICE CCC/SLP

MEDICARE: TIMOTHY JAMES RICE CCC/SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP 1021ME

General Provider Information

NPI Number : 1699931543
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY JAMES RICE CCC/SLP
Provider Business Mailing Address
First Line : 1133 WASHINGTON AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-3629
Country : US
Telephone Number : 207-797-0600
Fax Number :
Provider Business Practice Location Address
First Line : 1133 WASHINGTON AVE
Second Line :
City : PORTLAND
State : ME
Zip : 04103-3629
Country : US
Telephone Number : 207-797-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 07/30/2008

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Directions to “ TIMOTHY JAMES RICE CCC/SLP” Practice Location

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