Doctor Name: | TARA COMES |
NPI Number: | 1366838401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP9687 |
Business Practice Address: | 4931 Nettleton Rd Medina, OH - 442565353 |
Business Phone Number: | 3307213286 |
Business Fax Number: | |
Mailing Address: | 5425 Royal Brook Dr, MEDINA |
State: | OH |
Postal Code: | 442566209 |
Phone Number: | 3306352104 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2015 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |