Michael Nicholas Tarantino, SLP
Speech-Language Pathologist, in Monroe, LA. Individual provider (NPI-1).
NPI number1659986602
StatusActive
Last updated in NPPESSep 15, 2020
Details
- NPI
- 1659986602
- Entity type
- Individual (NPI-1)
- Name
- Michael Nicholas Tarantino
- Credential
- SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 15, 2020
- Certification date
- Sep 15, 2020
- Last updated
- Sep 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 6022 | LA | Yes |
Practice location
2399 Ferrand St Ste HMonroe, LA 71201-3208
Phone 318-460-5150
Mailing address
2399 Ferrand St Ste HMonroe, LA 71201-3208
Phone 318-460-5150
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