MRS. Tanya Jean Distefano, M.S. CCC-SLP
NPI #1750914628 in Waltham, Massachusetts
Provider Information
- NPI Number
- 1750914628
- Entity Type
- Individual
- Name
- MRS. Tanya Jean Distefano, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Feb 19, 2020
- Last Updated
- Feb 19, 2020
Practice Location
- Address
- 43 RANDO LN
- City
- Waltham
- State
- Massachusetts
- ZIP Code
- 02451-7541
- Phone
- (978) 460-3718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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