National Provider Identifier

Tamara Lynn Latta, M.A., CCC-SLP

Tamara Lynn Latta, M.A., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Marion, NY and a listed phone number of (315) 926-4256.

NPI 1104103597Marion, NYSpeech-Language Pathologist

Profile Overview

NPI
1104103597
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
November 14, 2011
Last Updated
September 28, 2018

Practice Location

  • 3863 N Main St
  • Marion, NY 14505-9579

Phone: (315) 926-4256

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1104103597
Entity Type
Individual
Last Name
Latta
First Name
Tamara
Middle Name
Lynn
Credential
M.A., CCC-SLP
Mailing Street Address
3863 N Main St
Mailing City
Marion
Mailing State
NY
Mailing ZIP Code
14505-9579
Mailing Country
US
Mailing Phone
(315) 926-4256
Practice Street Address
3863 N Main St
Practice City
Marion
Practice State
NY
Practice ZIP Code
14505-9579
Practice Country
US
Practice Phone
(315) 926-4256
Enumeration Date
November 14, 2011
Last Updated
September 28, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)