TARA FAGAN, SLP

Speech-Language Pathologist

Active Individual
NPI: 1164506192

Practice Address

1639 MAJESTIC VIEW LN
Orange Park, FL 32003

Phone: (904) 635-4143

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes SA6601 (FL)

Frequently Asked Questions

NPI 1164506192 is the National Provider Identifier for TARA FAGAN, SLP, a Speech-Language Pathologist provider located in Orange Park, FL. This NPI was enumerated on October 25, 2006.
TARA FAGAN, SLP practices at 1639 MAJESTIC VIEW LN, Orange Park, FL 32003.

Quick Facts

NPI
1164506192
Type
Individual
Enumerated
Oct 25, 2006
Last Updated
May 30, 2013

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