Doctor Name: | DR. TANDRIA MILAGNO CALLINS |
NPI Number: | 1487870820 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D., CCC-SLP |
License Number: | SA7606 |
Business Practice Address: | 4240 Lakeland Highlands Rd Lakeland, FL - 338133113 |
Business Phone Number: | 8636075946 |
Business Fax Number: | 8686444202 |
Mailing Address: | 6571 Eagle Ridge Way, LAKELAND |
State: | FL |
Postal Code: | 338135684 |
Phone Number: | 8638683843 |
Fax Number: | 8638687647 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA7606 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |