Doctor Name: | TARA MICHELLE ALLEN |
NPI Number: | 1053432476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, SLP CCC |
License Number: | 8256 |
Business Practice Address: | 625 Probasco St Cincinnati, OH - 452202710 |
Business Phone Number: | 5132812464 |
Business Fax Number: | |
Mailing Address: | 625 Probasco St., CINCINNATI |
State: | OH |
Postal Code: | 45220 |
Phone Number: | 5134794743 |
Fax Number: | |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |