MRS. Tara Starr Phelps, M.A.,CCC-SLP
NPI #1043563505 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1043563505
- Entity Type
- Individual
- Name
- MRS. Tara Starr Phelps, M.A.,CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A.,CCC-SLP
- Enumeration Date
- Oct 22, 2012
- Last Updated
- Sep 9, 2022
Practice Location
- Address
- 3110 E COLISEUM BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-1554
- Phone
- (260) 408-6732
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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