Provider Demographics
NPI:1700135001
Name:BEGIN, TINA MARIE
Entity Type:Individual
Prefix:MRS
First Name:TINA
Middle Name:MARIE
Last Name:BEGIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 GARDINER RD
Mailing Address - Street 2:
Mailing Address - City:WALES
Mailing Address - State:ME
Mailing Address - Zip Code:04280-3261
Mailing Address - Country:US
Mailing Address - Phone:207-375-4507
Mailing Address - Fax:
Practice Address - Street 1:971 GARDINER RD
Practice Address - Street 2:
Practice Address - City:WALES
Practice Address - State:ME
Practice Address - Zip Code:04280-3261
Practice Address - Country:US
Practice Address - Phone:207-375-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant