Individual provider · NPI-1

Tara Lynne Chay, SLP

Speech-Language Pathologist, · Kingman, AZ

NPI number1508957937
StatusActive
Last updated in NPPESNov 10, 2009

Details

NPI
1508957937
Entity type
Individual (NPI-1)
Name
Tara Lynne Chay
Credential
SLP
Sex
Female
Sole proprietor
No
Enumeration date
Sep 28, 2006
Last updated
Nov 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP6112AZYes
235Z00000X Speech-Language Pathologist,7084MN

Practice location

3269 Stockton Hill Rd
Kingman, AZ 86409-3619

Phone 928-692-4630

Mailing address

3269 Stockton Hill Rd
Kingman, AZ 86409-3619

Phone 928-692-4630

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