Doctor Name: | MRS. TARA R BARON |
NPI Number: | 1639414535 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 3694418 |
Business Practice Address: | 2901 Finley Rd Ste 101 Downers Grove, IL - 605151394 |
Business Phone Number: | 6307921800 |
Business Fax Number: | |
Mailing Address: | 574 Hiawatha Dr, CAROL STREAM |
State: | IL |
Postal Code: | 601881616 |
Phone Number: | 8472097703 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2012 |
NPI Last Update Date: | 08/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3694418 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |