Provider Demographics
NPI:1932449097
Name:AMES, TERI FITZPATRICK
Entity Type:Individual
Prefix:
First Name:TERI
Middle Name:FITZPATRICK
Last Name:AMES
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 1:1450 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:BLUE HILL
Mailing Address - State:ME
Mailing Address - Zip Code:04614-5629
Mailing Address - Country:US
Mailing Address - Phone:207-974-6810
Mailing Address - Fax:
Practice Address - Street 1:1450 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BLUE HILL
Practice Address - State:ME
Practice Address - Zip Code:04614-5629
Practice Address - Country:US
Practice Address - Phone:207-974-6810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter