Provider Demographics
NPI:1720304397
Name:TURCOTTE, FAYE PATRICIA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:FAYE
Middle Name:PATRICIA
Last Name:TURCOTTE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST BROOKFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01585-2906
Mailing Address - Country:US
Mailing Address - Phone:508-867-7715
Mailing Address - Fax:
Practice Address - Street 1:47 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST BROOKFIELD
Practice Address - State:MA
Practice Address - Zip Code:01585-2906
Practice Address - Country:US
Practice Address - Phone:508-867-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4141235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist