MRS. Tara Gannon
NPI #1659732246 in Cold Spring Harbor, New York
Provider Information
- NPI Number
- 1659732246
- Entity Type
- Individual
- Name
- MRS. Tara Gannon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 10, 2016
- Last Updated
- Mar 10, 2016
Practice Location
- Address
- 19 ERICK CT
- State
- New York
- ZIP Code
- 11724-1915
- Phone
- (631) 745-7319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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