Provider Demographics
NPI:1407555840
Name:PITTMAN, TARYN JOYCE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:JOYCE
Last Name:PITTMAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 WHITLEY BAY CT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-8122
Mailing Address - Country:US
Mailing Address - Phone:727-482-2937
Mailing Address - Fax:
Practice Address - Street 1:2808 WINDGUARD CIR STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7367
Practice Address - Country:US
Practice Address - Phone:813-461-7432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist