| Amanda Beth Tyburski, | |
|
800 Center St, Auburn, ME 04210-6404 | |
| (207) 782-2726 | |
| Not Available |
| Full Name | Amanda Beth Tyburski |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 800 Center St, Auburn, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326329368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP2174 (Maine) | Primary |
| Provider Name | Davis Pt A Balanced Approach Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1508427162 PECOS PAC ID: 3274868898 Enrollment ID: O20190718000281 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Beth Tyburski, 56 Hersey Hill Rd, Minot, ME 04258-4013 Ph: (207) 782-2726 | Amanda Beth Tyburski, 800 Center St, Auburn, ME 04210-6404 Ph: (207) 782-2726 |
Alyssa Rose Schaff, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022 | |
Lori Groves, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022 Fax: 207-333-3501 | |
Mallory Christine Cooper, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 589 Minot Ave, Auburn, ME 04210 Phone: 207-443-3341 Fax: 207-777-1205 | |
Kate Bridgham, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 415 Rodman Rd, Auburn, ME 04210 Phone: 207-376-3022 | |
Johnna Charlton, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 730 Center St Ste 9, Auburn, ME 04210 Phone: 207-783-3450 | |
Miss Danielle Claire Gagne, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Mayfield Rd, Auburn, ME 04210 Phone: 207-312-3674 | |
Mrs. Gwyneth Peacock, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Minot Ave, Auburn, ME 04210 Phone: 207-784-3573 |