Organization Active NPI

TWB Speech Language Pathology Services, Inc

  • Speech-Language Pathologist
  • Mars Hill, ME
National Provider Identifier
1336455013
Registry record updated Aug 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP676 Issued in ME
Legal business name
TWB SPEECH LANGUAGE PATHOLOGY SERVICES, INC
Practice address
7 Gilman St
Mars Hill, ME 04758
Phone
(207) 425-1066
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terri W Brewer, MA, CCC-SLPNPI 1275730046
Title
Speech Language Pathologist, Owner
Phone
(207) 425-1066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP676 ME Primary

Addresses

Primary practice location

7 Gilman St
Mars Hill, ME 04758

Mailing address

7 Gilman Street
PO Box 332
Mars Hill, ME 04758-0332
Phone (207) 425-1066

Other identifiers 3

IdentifierTypeStateIssuer
025729OtherMEBCBS
2218331OtherAETNA
132570000MedicaidME

Other names 1

  • TWB Speech Language Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1336455013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GILMAN STREET",
            "address_2": "PO BOX 332",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047580332",
            "telephone_number": "207-425-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GILMAN ST",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "04758",
            "telephone_number": "207-425-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWB SPEECH LANGUAGE PATHOLOGY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST, OWNER",
        "authorized_official_telephone_number": "207-425-1066",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "025729",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2218331",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132570000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TWB Speech Language",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mars Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.