Doctor Name: | MS. TANYA DAWN MCCARTHY |
NPI Number: | 1669794533 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP, CCC |
License Number: | 8533 |
Business Practice Address: | 464 2nd St Suite 106 Excelsior, MN - 553311963 |
Business Phone Number: | 9524014242 |
Business Fax Number: | |
Mailing Address: | 2118 E 22nd St, MINNEAPOLIS |
State: | MN |
Postal Code: | 554043159 |
Phone Number: | 6127478461 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2010 |
NPI Last Update Date: | 02/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |