MRS. Elizabeth Marisol Tavares, M.A., CCC-SLP
NPI #1548568793 in Douglaston, New York
Provider Information
- NPI Number
- 1548568793
- Entity Type
- Individual
- Name
- MRS. Elizabeth Marisol Tavares, M.A., CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A., CCC-SLP
- Enumeration Date
- Mar 10, 2011
- Last Updated
- Mar 10, 2011
Practice Location
- Address
- 24419 73RD AVE
- City
- Douglaston
- State
- New York
- ZIP Code
- 11362-2321
- Phone
- (718) 812-9414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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