Brittani Tash, SLPA

Individual provider Active NPI Speech-Language Assistant · Milford, ME

NPI 1053741561 · NPPES record last updated Mar 17, 2018

Key facts

NPI
1053741561
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
Practice address
78 Main Rd
Milford, ME 04461-3605
Phone
(207) 478-5796
NPI assigned
Nov 19, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Watch Me Shine, Inc. Past
since Jul 24, 2018
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X Yes

Addresses

Primary practice location

78 Main Rd
Milford, ME 04461-3605

Mailing address

PO Box 249
Old Town, ME 04468-0249
Phone (207) 478-5796

Other practice location 1

28 Gilman Plaza
c/o Watch Me Shine, Inc.
Bangor, ME 04401
Phone (207) 990-0162

Other providers in Milford, ME

All providers in Milford, ME · Speech-Language Assistant in Maine

Sources for this page

Verify at the official NPI Registry.