Tina Michelle Tan M.S., CCC-SLP

NPI 1043584808 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1043584808
Gender Female
Enumeration Date 02/25/2012
Last Updated 02/25/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4618 5TH AVE
BROOKLYN NY, 11220-1208, US
Phone (917) 770-4799
Fax
Business Location
4618 5TH AVE
BROOKLYN NY, 11220-1208, US
Phone (917) 770-4799
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State New York
License Number 010368
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According to our database, Ms. Tina Michelle Tan M.S., CCC-SLP NPI is 1043584808, taxonomy code is 235Z00000X and license number is 010368, license state is located at New York. Tina Michelle Tan M.S., CCC-SLP physically located at 4618 5th Ave, Brooklyn NY, 11220-1208. NPI Number Tina Michelle Tan M.S., CCC-SLP has the Individual type.

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1043584808 NPI number is provided on an as is basis without warranty of any kind. 1043584808 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Michelle Tan M.S., CCC-SLP are for informational purposes only.