Provider Demographics
NPI:1497994313
Name:TWEED, ANNE-MARIE CAROLINE (SLPA)
Entity Type:Individual
Prefix:
First Name:ANNE-MARIE
Middle Name:CAROLINE
Last Name:TWEED
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3528 VIA PALMA
Mailing Address - Street 2:
Mailing Address - City:LA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:91941-7328
Mailing Address - Country:US
Mailing Address - Phone:619-670-3004
Mailing Address - Fax:619-670-3004
Practice Address - Street 1:3528 VIA PALMA
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7328
Practice Address - Country:US
Practice Address - Phone:619-670-3004
Practice Address - Fax:619-670-3004
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA 9792355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant