National Provider Identifier

Tanya Petricia Callan, M.S., ED.

Tanya Petricia Callan, M.S., ED. is listed in the NPPES registry with a primary specialty of Speech/Language/Hearing Specialist/Technologist in Rochester, NY and a listed phone number of (585) 271-0680.

NPI 1316131162Rochester, NYSpeech/Language/Hearing Specialist/Technologist

Profile Overview

NPI
1316131162
Provider Type
Individual
Primary Specialty
Speech/Language/Hearing Specialist/Technologist
Enumeration Date
September 04, 2007
Last Updated
September 04, 2007

Practice Location

  • 1000 Elmwood Ave
  • Suite 400
  • Rochester, NY 14620-3042

Phone: (585) 271-0680

Specialties

  • Speech/Language/Hearing Specialist/Technologist (235500000X)
Full Record
NPI
1316131162
Entity Type
Individual
Last Name
Callan
First Name
Tanya
Middle Name
Petricia
Name Prefix
Mrs.
Credential
M.S., ED.
Provider Other Last Name
Lacey
Provider Other First Name
Tanya
Provider Other Middle Name
Petricia
Provider Other Name Prefix Text
MS.
Provider Other Last Name Type Code
1
Mailing Street Address
1000 Elmwood Ave
Mailing Address Line 2
Suite 400
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3042
Mailing Country
US
Practice Street Address
1000 Elmwood Ave
Practice Address Line 2
Suite 400
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3042
Practice Country
US
Practice Phone
(585) 271-0680
Enumeration Date
September 04, 2007
Last Updated
September 04, 2007
Sex
Female
Sole Proprietor
No
Taxonomies
Speech/Language/Hearing Specialist/Technologist (235500000X)