Doctor Name: | MRS. TINA MARIE GARMON |
NPI Number: | 1093831703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC SLP L |
License Number: | 146.005439 |
Business Practice Address: | 607 S Lincoln St Tremont, IL - 615688671 |
Business Phone Number: | 6306700901 |
Business Fax Number: | 6306544619 |
Mailing Address: | 607 S Lincoln St, TREMONT |
State: | IL |
Postal Code: | 615688671 |
Phone Number: | 6306700901 |
Fax Number: | 6306544619 |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 11/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.005439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |