Provider Demographics
NPI:1417638123
Name:FRANCO, TANYA LYKA DUMALOAN (C-SLPA)
Entity Type:Individual
Prefix:
First Name:TANYA LYKA
Middle Name:DUMALOAN
Last Name:FRANCO
Suffix:
Gender:F
Credentials:C-SLPA
Other - Prefix:
Other - First Name:TANYA LYKA
Other - Middle Name:
Other - Last Name:DUMALOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1334 TOWN BROOKE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-6607
Mailing Address - Country:US
Mailing Address - Phone:518-577-6193
Mailing Address - Fax:
Practice Address - Street 1:1334 TOWN BROOKE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-6607
Practice Address - Country:US
Practice Address - Phone:518-577-6193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant