Doctor Name: | TANYA MO'E |
NPI Number: | 1104249978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | |
Business Practice Address: | 9 Haywood Ave Rutland, VT - 057014832 |
Business Phone Number: | 8027476413 |
Business Fax Number: | |
Mailing Address: | 106 Vt Route 107, STOCKBRIDGE |
State: | VT |
Postal Code: | 057726701 |
Phone Number: | 8023532069 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2014 |
NPI Last Update Date: | 06/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |