Tara Marie Pagliaro, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · North Granby, CT
NPI 1295053783 · NPPES record last updated May 10, 2010
Key facts
- NPI
- 1295053783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 5657 (MA)
- Practice address
- 49 Cider Mill Heights
North Granby, CT 06060 - Phone
- (413) 575-7880
- NPI assigned
- May 10, 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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5657 | MA | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5657 | MA | Yes |
Addresses
Primary practice location
49 Cider Mill Heights
North Granby, CT 06060
Mailing address
49 Cider Mill Heights
North Granby, CT 06060
Phone (413) 575-7880
Other providers in North Granby, CT
- Kathryn Rose Gibson
- Juliane Marks Morawski
- Mosaic Wellness and Psychiatry
- Keven Murphy
- David Jacob Nochimson
- Stillpoint Inc
- Donna Swanson
- Ashley Sylvester
- Barbara Joy Wetzel
- Amy G Woodman
All providers in North Granby, CT · Speech-Language Pathologist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.