T.a.g. the Academic Gym LLC

NPI #1306711734 in Walden, New York

Provider Information

NPI Number
1306711734
Entity Type
Organization
Organization Name
T.a.g. the Academic Gym LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 7, 2025
Last Updated
Oct 7, 2025

Practice Location

Address
51 MUKTANADA MARG
City
Walden
ZIP Code
12586-2352
Phone
(917) 861-5243

Authorized Official

Name
BRIAN CYRIL VIEIRA
Title
PRESIDENT
Phone
(833) 433-7323

Specialties & Taxonomy Codes

Specialty
Psychologist
Occupational Therapist
Speech-Language Pathologist

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