Provider Demographics
NPI:1932334919
Name:AYROVAINEN, TIMOTHY J (CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:J
Last Name:AYROVAINEN
Suffix:
Gender:M
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:460 CHINA RD
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-1448
Mailing Address - Country:US
Mailing Address - Phone:516-456-4426
Mailing Address - Fax:631-589-6431
Practice Address - Street 1:2174 HEWLETT AVE STE 212
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3620
Practice Address - Country:US
Practice Address - Phone:516-456-4426
Practice Address - Fax:631-589-6431
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY006832-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist