Doctor Name: | MS. TARIN MARISA TYSON |
NPI Number: | 1083923643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACCC/SLP |
License Number: | SA8859 |
Business Practice Address: | 7030 Evergreen Woods Trl Spring Hill, FL - 346081305 |
Business Phone Number: | 3526104475 |
Business Fax Number: | 3526104487 |
Mailing Address: | 7030 Evergreen Woods Trl, SPRING HILL |
State: | FL |
Postal Code: | 346081305 |
Phone Number: | 3526104475 |
Fax Number: | 3526104487 |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA8859 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |