MRS. Tara Lyn Stallone, M.S., CCC-SLP
NPI #1407124647 in Centereach, New York
Provider Information
- NPI Number
- 1407124647
- Entity Type
- Individual
- Name
- MRS. Tara Lyn Stallone, M.S., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S., CCC-SLP
- Enumeration Date
- Dec 2, 2011
- Last Updated
- Aug 4, 2015
Practice Location
- Address
- 7 JEREMY CT
- City
- Centereach
- State
- New York
- ZIP Code
- 11720
- Phone
- (631) 241-2513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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