Provider Demographics
NPI:1467606921
Name:TADDEO, TARAMARIE (MS CCC-SLP, TSHH)
Entity Type:Individual
Prefix:MS
First Name:TARAMARIE
Middle Name:
Last Name:TADDEO
Suffix:
Gender:F
Credentials:MS CCC-SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 RARITAN AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2300
Mailing Address - Country:US
Mailing Address - Phone:917-482-5702
Mailing Address - Fax:
Practice Address - Street 1:444 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-2300
Practice Address - Country:US
Practice Address - Phone:917-482-5702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015926-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist