Home » Maine » 04364 » Shannon Marie Tyler

Shannon Marie Tyler

Shannon Marie Tyler is a health care provider specializes in Specialist/Technologist.

profile-icon Basic Information

Practice Location 28 N Heritage Woods Ln, Winthrop, ME 04364-3240, US
Practice Location Phone207-377-2472
Practice Location Fax207-377-2472
GenderFemale
Specialty InSpecialist/Technologist
NPI ?1285963298
Entity TypeIndividual
Enumeration Date ? Dec 22, 2009
Last Update Date ? Dec 22, 2009
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Shannon Marie Tyler

SpecialtySpecializationLicenseLicense State
Specialist/TechnologistSpeech-Language Assistant SAS1421Maine

legacy-id-icon Legacy Provider IDs of Shannon Marie Tyler

Provider IdIssuer StateIssuer TypeIssuer
266450099MaineMedicaid