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Athena M Tahos, M.S., CCC-SLP, TSSLD

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

NPI number1164030607
StatusActive
Last updated in NPPESJul 21, 2020

Details

NPI
1164030607
Entity type
Individual (NPI-1)
Name
Ms. Athena M Tahos
Credential
M.S., CCC-SLP, TSSLD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 21, 2020
Certification date
Jul 21, 2020
Last updated
Jul 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,027939NYYes

Practice location

2388 31st St Apt 5c
Astoria, NY 11105-3327

Phone 610-349-4505

Mailing address

2388 31st St Apt 5c
Astoria, NY 11105-3327

Phone 610-349-4505

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