MS. Tatyana Vivienna Moon, SLP-CCC
NPI #1952021149 in Catonsville, Maryland
Provider Information
- NPI Number
- 1952021149
- Entity Type
- Individual
- Name
- MS. Tatyana Vivienna Moon, SLP-CCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- SLP-CCC
- Enumeration Date
- Aug 30, 2022
- Last Updated
- Aug 30, 2022
Practice Location
- Address
- 106 BLOOMSBURY AVE
- City
- Catonsville
- State
- Maryland
- ZIP Code
- 21228-5249
- Phone
- (443) 809-0800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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