Doctor Name: | MRS. KAYE LENE TAGABAN |
NPI Number: | 1053634741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLPA |
License Number: | SLPA6296 |
Business Practice Address: | 600 S 21st Ave Yuma, AZ - 853642727 |
Business Phone Number: | 9285028050 |
Business Fax Number: | 9285028082 |
Mailing Address: | 450 W 6th St, YUMA |
State: | AZ |
Postal Code: | 853642973 |
Phone Number: | 9285024300 |
Fax Number: | 9285024444 |
NPI Enumeration Date: | 03/09/2010 |
NPI Last Update Date: | 03/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | SLPA6296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |