Tara Lyn Stallone, M.S., CCC-SLP
Speech-Language Pathologist, in Centereach, NY. Individual provider (NPI-1).
NPI number1407124647
StatusActive
Last updated in NPPESAug 4, 2015
Details
- NPI
- 1407124647
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tara Lyn Stallone
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2011
- Last updated
- Aug 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 58 009471 | NY | Yes |
Practice location
7 Jeremy CtCentereach, NY 11720
Phone 631-241-2513
Mailing address
7 Jeremy CourtCentereach, NY 11720
Phone 631-241-2513
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Other Speech-Language Pathologist providers in Centereach, NY
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All 22 Speech-Language Pathologist providers in Centereach · All 445 providers in Centereach
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