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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA FAGAN, SLP

Active Sole Proprietor

TARA FAGAN, SLP is a Speech, Language and Hearing Specialist healthcare provider located in ORANGE PARK, Florida. NPI 1164506192 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · ORANGE PARK, FL

Registration Details

NPI Number
1164506192
Provider Type
Individual
Gender
Female
NPI Issued
Oct 25, 2006 (19.619197274784 yrs)
Last Updated
May 30, 2013
License
SA6601 (FL)
Sole Proprietor
Yes

Practice Information

Address
1639 MAJESTIC VIEW LN
ORANGE PARK, FL, 320033223
Browse FL providers · Browse ZIP 32003
Phone
9046354143
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in ORANGE PARK, FL

Name Credential NPI
MELISSA JEAN GILLMER CCC-SLP 1275523094
MRS. TERESA ELAINE GRADY 1386610475
MS. MARY CATHERINE SWANSON CCC-SLP 1679584106
ASHLEY HONEYCUTT SLP 1831282201
VERNA STRINGFELLOW SLP 1851475891
RENEE DENISE KATICH 1073669560
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.