National Provider Identifier

Joan Marie Tardif, CCC-SLP

Joan Marie Tardif, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 273-3784.

NPI 1104057512Ithaca, NYSpeech-Language Pathologist

Profile Overview

NPI
1104057512
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 03, 2009
Last Updated
August 03, 2009

Practice Location

  • 106 Queen St
  • Ithaca, NY 14850-3746

Phone: (607) 273-3784

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1104057512
Entity Type
Individual
Last Name
Tardif
First Name
Joan
Middle Name
Marie
Name Prefix
MS.
Credential
CCC-SLP
Mailing Street Address
106 Queen St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3746
Mailing Country
US
Mailing Phone
(607) 273-3784
Practice Street Address
106 Queen St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3746
Practice Country
US
Practice Phone
(607) 273-3784
Enumeration Date
August 03, 2009
Last Updated
August 03, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)