Doctor Name: | TARYN TRACHTENBERG |
NPI Number: | 1437455896 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SL010091 |
Business Practice Address: | 1780 Kendarbren Dr Jamison, PA - 189291064 |
Business Phone Number: | 2154898760 |
Business Fax Number: | |
Mailing Address: | 722 Dixon Ln, GLADWYNE |
State: | PA |
Postal Code: | 190351602 |
Phone Number: | 2153276666 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2011 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL010091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |