Two Rivers Child Development Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

TWO RIVERS CHILD DEVELOPMENT SERVICES

Practice address

1092A Douty Hill Road
Dover Foxcroft, ME 04426

Phone

(207) 564-3115

Fax

(207) 564-0019

NPI assigned

Apr 28, 2009

Last updated

Jul 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cindy Brown

Title

Director

Phone

(207) 564-3115

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethany Worster, SLP

  • Speech-Language Pathologist
  • Sangerville, ME
  • NPI 1487884128
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1730323205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "04426",
            "telephone_number": "207-564-3115",
            "fax_number": "207-564-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092A DOUTY HILL ROAD",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "04426",
            "telephone_number": "207-564-3115",
            "fax_number": "207-564-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS CHILD DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-564-3115"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Tinkham, RN
• Jalcyn Tourtelotte, ATC
• Town of Dover-Foxcroft
• Trustees of Foxcroft Academy (Foxcroft Academy)
• Andrew Gordon Turner, PT, DPT
• Lesley Ann Tyler, L.C.S.W.
• Walgreen Eastern Co Inc (Walgreens #17989)
• Melissa Ware
• Sarah Jane Waugh
• Katti M Webb-Simpson, RDH

• Speech-Language Pathologist in Dover Foxcroft, ME
• Providers in Dover Foxcroft, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.