Doctor Name: | MISS TARA MARIE COURSEY |
NPI Number: | 1518116151 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP, TSHH |
License Number: | 011280-1 |
Business Practice Address: | 9527 Jamaica Ave Woodhaven, NY - 114212224 |
Business Phone Number: | 7188467782 |
Business Fax Number: | |
Mailing Address: | 9527 Jamaica Ave, WOODHAVEN |
State: | NY |
Postal Code: | 114212224 |
Phone Number: | 7188467782 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 08/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 011280-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |