MRS. Tanya Jean Antonisse-Irwin, MS CCC-SLP

NPI #1497235691 in Forney, Texas

Provider Information

NPI Number
1497235691
Entity Type
Individual
Name
MRS. Tanya Jean Antonisse-Irwin, MS CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS CCC-SLP
Enumeration Date
Aug 16, 2018
Last Updated
Aug 16, 2018

Practice Location

Address
1023 KIMBRO DRIVE
City
Forney
State
Texas
ZIP Code
75126
Phone
(972) 948-3852

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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