Provider Demographics
NPI:1508173295
Name:TAHHAN, MYRNA (SPEECH PATHOLAGIST)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:
Last Name:TAHHAN
Suffix:
Gender:F
Credentials:SPEECH PATHOLAGIST
Other - Prefix:
Other - First Name:MYRNA
Other - Middle Name:
Other - Last Name:TAHHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:49 ASKINS PL
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1030
Mailing Address - Country:US
Mailing Address - Phone:914-654-1593
Mailing Address - Fax:347-297-2551
Practice Address - Street 1:49 ASKINS PL
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1030
Practice Address - Country:US
Practice Address - Phone:914-654-1593
Practice Address - Fax:347-297-2551
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0171-59-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist