Tara B. Gwyn M.S.,CCC, SLP

NPI 1962550087 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1962550087
Gender Female
Enumeration Date 01/08/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
500 SCHOOL ST
CLARKS SUMMIT PA, 18411-1508, US
Phone (570) 586-6046
Fax
Business Location
500 SCHOOL ST
CLARKS SUMMIT PA, 18411-1508, US
Phone (570) 586-6046
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Pennsylvania
License Number SL-001077-L
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According to our database, Tara B. Gwyn M.S.,CCC, SLP NPI is 1962550087, taxonomy code is 235Z00000X and license number is SL-001077-L, license state is located at Pennsylvania. Tara B. Gwyn M.S.,CCC, SLP physically located at 500 School St, Clarks Summit PA, 18411-1508. NPI Number Tara B. Gwyn M.S.,CCC, SLP has the Individual type.

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1962550087 NPI number is provided on an as is basis without warranty of any kind. 1962550087 is maintained by the National Plan & Provider Enumeration System. The contents of Tara B. Gwyn M.S.,CCC, SLP are for informational purposes only.