Provider Demographics
NPI:1437466422
Name:WESTERMAN, TARYN (MA, SLP)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:WESTERMAN
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 DARTMOUTH ST
Mailing Address - Street 2:4A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4059
Mailing Address - Country:US
Mailing Address - Phone:347-558-3710
Mailing Address - Fax:
Practice Address - Street 1:2502 FRANCIS LEWIS BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-1100
Practice Address - Country:US
Practice Address - Phone:347-368-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-12
Last Update Date:2010-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020399235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist