Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TANYA JEAN DISTEFANO, M.S. CCC-SLP
Active Sole ProprietorMRS. TANYA JEAN DISTEFANO, M.S. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in WALTHAM, Massachusetts. NPI 1750914628 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · WALTHAM, MA
Registration Details
- NPI Number
- 1750914628
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 19, 2020 (6.4716587097838 yrs)
- Last Updated
- Feb 19, 2020
- License
-
SP-9787-SL (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 RANDO LNWALTHAM, MA, 024517541Browse MA providers · Browse ZIP 02451
- Phone
- 9784603718
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in WALTHAM, MA
| Name | Credential | NPI |
|---|---|---|
| JOHN M COSTELLO | CCC-SLP | 1962472720 |
| JENNIFER JOHNSTON | CCC-SLP | 1760455273 |
| HOPE E DICKINSON | CCC-SLP | 1053384941 |
| SHARON SHAHAM | MS | 1033183389 |
| HOWARD C SHANE | PHD | 1710953534 |
| GERALYN H WOODNORTH | CCC-SLP | 1407822893 |
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.