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Tara Sprung, M.A. CCC-SLP, TSSLD

Speech-Language Pathologist, in Elmhurst, NY. Individual provider (NPI-1).

NPI number1063801769
StatusActive
Last updated in NPPESFeb 8, 2017

Details

NPI
1063801769
Entity type
Individual (NPI-1)
Name
Tara Sprung
Credential
M.A. CCC-SLP, TSSLD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 19, 2015
Last updated
Feb 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,025653-1NYYes

Practice location

5524 Van Horn St
Elmhurst, NY 11373-4360

Phone 718-446-3308

Mailing address

5524 Van Horn St
Elmhurst, NY 11373-4360

Phone 718-446-3308

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