| Doctor Name: | TARA M MERLA |
| NPI Number: | 1174876684 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | 41YS00814100 |
| Business Practice Address: | 59 Danbury Rd Wilton, CT - 068974405 |
| Business Phone Number: | 2032107124 |
| Business Fax Number: | 2032107126 |
| Mailing Address: | 239 N Middletown Rd, Apt A PEARL RIVER |
| State: | NY |
| Postal Code: | 109651138 |
| Phone Number: | 6316626528 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2012 |
| NPI Last Update Date: | 02/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 41YS00814100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| 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 |