Provider Demographics
NPI:1225389356
Name:CHARTIER, TARA MARIE (SLPA)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:MARIE
Last Name:CHARTIER
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 N HAYDEN RD
Mailing Address - Street 2:SUITE A104
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-2458
Mailing Address - Country:US
Mailing Address - Phone:480-247-2070
Mailing Address - Fax:480-247-2477
Practice Address - Street 1:8300 N HAYDEN RD
Practice Address - Street 2:SUITE A104
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2458
Practice Address - Country:US
Practice Address - Phone:480-247-2070
Practice Address - Fax:480-247-2477
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA80182355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant