Doctor Name: | MRS. TARA CRAIG ADAMS |
NPI Number: | 1871541888 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC-SLP |
License Number: | SP#2069 |
Business Practice Address: | 355 Oak Grove Rd Spartanburg, SC - 293012537 |
Business Phone Number: | 8645954225 |
Business Fax Number: | |
Mailing Address: | 629 Branch View Dr, BOILING SPRINGS |
State: | SC |
Postal Code: | 293164836 |
Phone Number: | 8706744061 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP#2069 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AR |
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 |