Tanya Karin Fields, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Emmalena, KY

NPI 1114220548 · NPPES record last updated Dec 7, 2010

Key facts

NPI
1114220548
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2234 (KY)
Practice address
144 Sycamore LN
Emmalena, KY 41740-9712
Phone
(606) 785-9245
Fax
(606) 785-9245
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2234KYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2234 KY Yes

Addresses

Primary practice location

144 Sycamore LN
Emmalena, KY 41740-9712

Mailing address

144 Sycamore LN
Emmalena, KY 41740-9712
Phone (606) 785-9245

Other providers in Emmalena, KY

All providers in Emmalena, KY · Speech-Language Pathologist in Kentucky

Sources for this page

Verify at the official NPI Registry.